Individual
MS. MICHELLE ANN LAFOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
191 W FRONT ST, PESHTIGO, WI 54157-1421
(920) 327-0617
Mailing address
191 W FRONT ST, PESHTIGO, WI 54157-1421
(920) 327-0617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
109400
WI
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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