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NPI Code Detail

MEDICARE: LAFAY A WALDEN II

MEDICARE: LAFAY A WALDEN II
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1528729043
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAFAY A WALDEN II
Provider Business Mailing Address
First Line : 449 N WORTHINGTON ST
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44510-1545
Country : US
Telephone Number : 216-400-2709
Fax Number :
Provider Business Practice Location Address
First Line : 165 E PARK AVE
Second Line :
City : NILES
State : OH
Zip : 44446-2352
Country : US
Telephone Number : 330-544-8005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2022
Last Update Date : 12/05/2025

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Directions to “ LAFAY A WALDEN II ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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