Individual
LAFE J CARROLL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4540 E BASELINE RD, SUITE 108, MESA, AZ 85206-4613
(480) 892-3880
(480) 545-4551
Mailing address
4540 E BASELINE RD, SUITE 108, MESA, AZ 85206-4613
(480) 892-3880
(480) 545-4551
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4090
AZ
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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