MEDICARE: MR. CHRISTOPHER J LAFLEUR CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	R1371550	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326098377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER J LAFLEUR CRNA

Provider Business Mailing Address
First Line	:	3704 ALLENDALE AVE
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55803-1829
Country	:	US
Telephone Number	:	218-391-2170
Fax Number	:

Provider Business Practice Location Address
First Line	:	3704 ALLENDALE AVE
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55803-1829
Country	:	US
Telephone Number	:	218-391-2170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	05/18/2012

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