Healthcare Provider Details

I. General information

NPI: 1679335475
Provider Name (Legal Business Name): LAURA LAFRANCE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 LAKE LANSING RD STE 201
LANSING MI
48912-3757
US

IV. Provider business mailing address

1540 LAKE LANSING RD STE 201
LANSING MI
48912-3757
US

V. Phone/Fax

Practice location:
  • Phone: 517-913-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704289613
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: