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Individual

PAUL N LAFATA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
25 STEVENS AVE, WEST LAWN, PA 19609-1424
(610) 678-4581
(610) 678-4599
Mailing address
25 STEVENS AVE, WEST LAWN, PA 19609-1424
(610) 678-4581
(610) 678-4599

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001317-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011753-01
CAPITAL BLUE CROSS
PA
01
LA48605
HIGHMARK BLUE SHIELD
PA
01
P00203034
PALMETTO GBA
PA
Enumeration date
08/23/2005
Last updated
07/08/2007
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