Provider Demographics
NPI:1861481418
Name:LAFRAMBOISE, CHRISTOPHER (PA C)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:LAFRAMBOISE
Suffix:
Gender:M
Credentials:PA C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1297 N LIGHTNING RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31409-4703
Mailing Address - Country:US
Mailing Address - Phone:912-201-2697
Mailing Address - Fax:912-652-4191
Practice Address - Street 1:1297 N LIGHTNING RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31409-4703
Practice Address - Country:US
Practice Address - Phone:912-201-2697
Practice Address - Fax:912-652-4191
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601004034363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP99891Medicare UPIN
MIP99891Medicare UPIN