Doctor Name: | DAWN MARIE LAFROMBOISE |
NPI Number: | 1497818926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 23500 |
Business Practice Address: | 2 Blocks North Of Hwy 5 Belcourt, ND - 58316 |
Business Phone Number: | 7014778458 |
Business Fax Number: | 7014772509 |
Mailing Address: | Moonlight Drive Hwy 5, BELCOURT |
State: | ND |
Postal Code: | 583163850 |
Phone Number: | 7014778458 |
Fax Number: | 7014772509 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 23500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |