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1750463030 NPI number — LAURA TAN LAFAVE MD

NPI Number: 1750463030
Health Care Provider/Practitioner: LAURA TAN LAFAVE MD

Information about “1750463030” NPI (LAURA TAN LAFAVE MD) exists in 1750463030 in HTML format HTML  |  1750463030 in plain Text format TXT  |  1750463030 in PDF (Portable Document Format) PDF  |  1750463030 in an XML format XML  formats.

NPI Number : 1750463030 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750463030",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAFAVE",
    "FirstName": "LAURA",
    "MiddleName": "TAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2315 E 22ND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55406-1005",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-276-0122",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3800 PARK NICOLLET BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ST LOUIS PARK",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55416-2527",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-993-3622",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/19/2006",
    "LastUpdateDate": "10/13/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RE0101X",
        "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
        "LicenseNumber": "102653",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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