Individual
MRS. LISA J LAFLEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
309 COLLINS AVE, MANDAN, ND 58554-3002
(701) 663-9531
Mailing address
309 COLLINS AVE, PO BOX 5510, MANDAN, ND 58554-3002
(701) 663-9531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1065
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065
LICENSE
ND
Enumeration date
03/13/2008
Last updated
09/29/2008
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