Provider Demographics
NPI:1437492253
Name:LAFAYETTE, STEPHANIE M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:M
Last Name:LAFAYETTE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:24307 MAGIC MOUNTAIN PKWY
Mailing Address - Street 2:#255
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3402
Mailing Address - Country:US
Mailing Address - Phone:661-295-7823
Mailing Address - Fax:661-294-0840
Practice Address - Street 1:24307 MAGIC MOUNTAIN PKWY
Practice Address - Street 2:#255
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3402
Practice Address - Country:US
Practice Address - Phone:661-295-7823
Practice Address - Fax:661-294-0840
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
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Provider Licenses
StateLicense IDTaxonomies
CAG37634207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine