Healthcare Provider Details

I. General information

NPI: 1851791834
Provider Name (Legal Business Name): LAFANNE STEADMAN CRTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2014
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 NE 206TH LN APT 106
MIAMI FL
33179-1877
US

IV. Provider business mailing address

444 NE 206TH LN APT 106
MIAMI FL
33179-1877
US

V. Phone/Fax

Practice location:
  • Phone: 305-621-3283
  • Fax:
Mailing address:
  • Phone: 305-621-3283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT13344
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: