Individual
LEEANN O LAFONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1440 NARROW LANE PKWY, MONTGOMERY, AL 36111-2654
(334) 281-4140
Mailing address
1440 NARROW LANE PKWY, MONTGOMERY, AL 36111-2654
(334) 281-4140
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-139231
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-139231
PROVIDER LICENSE NUMBER
AL
Enumeration date
07/24/2019
Last updated
08/05/2019
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