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Individual

TARA MICHELLE LAFORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
306 S NEW ST, BETHLEHEM, PA 18015-1652
(484) 426-2600
(833) 816-7512
Mailing address
306 S NEW ST, BETHLEHEM, PA 18015-1652
(484) 426-2600
(833) 816-7512

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015608-1
NY
363AM0700X
Medical Physician Assistant
2606
MA
363AM0700X
Medical Physician Assistant
Primary
MA065197
PA

Other

Enumeration date
11/07/2008
Last updated
03/12/2026
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