Individual
MR. MICHAEL EUGENE LAFAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2165 HOLLOW BROOK DR STE 10, COLORADO SPRINGS, CO 80918-1463
(719) 434-3636
(719) 434-3639
Mailing address
2165 HOLLOW BROOK DR STE 10, COLORADO SPRINGS, CO 80918-1463
(719) 434-3636
(719) 434-3639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71205
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71205
NURSING LICENSE NUMBER
CO
01
—
RXN 97-165
COLORADO PRESCRIPTIVE AUTHORITY NUMBER
CO
Enumeration date
11/16/2005
Last updated
11/15/2010
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