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Individual

DR. JOHN R LAFRENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
285 CHATEAU DR, HUNTSVILLE, AL 35801-6401
(256) 882-0165
(256) 882-7846
Mailing address
285 CHATEAU DR, HUNTSVILLE, AL 35801-6401
(256) 882-0165
(256) 882-7846

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00023611
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51521796
BCBS
Enumeration date
05/10/2006
Last updated
05/13/2013
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