Lafond, Mark David
Lafond, Mark David is an individual health care provider with primary practice located at 2109 Fairburn Rd , Douglasville GA 30135-1037. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lafond, Mark David can be contacted via phone (770) 726-7958.Contact Information
Primary practice address
2109 Fairburn Rd
Douglasville GA 30135-1037
Phone: (770) 726-7958
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1376189431 |
|---|---|
| LBN Legal business name | Lafond, Mark David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2019 |
| Last updated | Nov 25th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376189431 | NPPES |
| Georgia | Other | 054516517 | DRIVERS LICENSE |
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