Individual
STANLEY LAFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
3 MAPLEWOOD AVE, EVERETT, MA 02149-5111
(617) 401-1336
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
148878
MA
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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