Individual
STEPHANIE KAY LAFEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
37799 PROFESSIONAL CENTER DR, SUITE 105, LIVONIA, MI 48154-1153
(734) 464-3368
Mailing address
110 OHIO ST, YPSILANTI, MI 48198-7820
(507) 236-3207
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006211
MI
Other
Enumeration date
10/18/2011
Last updated
01/30/2013
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