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NPI Code Detail

MEDICARE: DR. RICHARD S LAFANS PH.D.

MEDICARE: DR. RICHARD S LAFANS PH.D.
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
1103T00000XPsychologist3792MN

General Provider Information

NPI Number : 1952386526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD S LAFANS PH.D.
Provider Business Mailing Address
First Line : 14300 NICOLLET CT
Second Line : STE 130
City : BURNSVILLE
State : MN
Zip : 55306-3422
Country : US
Telephone Number : 952-435-8814
Fax Number : 952-435-7705
Provider Business Practice Location Address
First Line : 14300 NICOLLET CT
Second Line : STE 130
City : BURNSVILLE
State : MN
Zip : 55306-3422
Country : US
Telephone Number : 952-435-8814
Fax Number : 952-435-7705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 06/13/2013

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