Lafayette, Michael Eugene

Lafayette, Michael Eugene is an individual health care provider with primary practice located at 2165 Hollow Brook Dr Ste 10 , Colorado Springs CO 80918-1463. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lafayette, Michael Eugene can be contacted via phone (719) 434-3636.

Contact Information

Primary practice address
2165 Hollow Brook Dr Ste 10 Colorado Springs CO 80918-1463
Phone: (719) 434-3636
Fax: (719) 434-3639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71205 Colorado

Profile Details

NPI number 1578545513
LBN Legal business name Lafayette, Michael Eugene
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Nov 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578545513 NPPES
Colorado Other RXN 97-165 COLORADO PRESCRIPTIVE AUTHORITY NUMBER
Colorado Other 71205 COLORADO PRESCRIPTIVE AUTHORITY NUMBER

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