MEDICARE: MRS. ELIZABETH FAYE LAFLEUR DC

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	111N00000X	Chiropractor	006989	IA

General Provider Information

NPI Number	:	1568654317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH FAYE LAFLEUR DC

Provider Business Mailing Address
First Line	:	5465 MILLS CIVIC PKWY
Second Line	:	SUITE 230
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5318
Country	:	US
Telephone Number	:	515-564-7272
Fax Number	:	515-564-7273

Provider Business Practice Location Address
First Line	:	5465 MILLS CIVIC PKWY
Second Line	:	SUITE 230
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5318
Country	:	US
Telephone Number	:	515-564-7272
Fax Number	:	515-564-7273

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

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	02/04/2008

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