Provider Demographics
NPI:1831960384
Name:LAFOND, SIERRA N
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:N
Last Name:LAFOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2518
Mailing Address - Country:US
Mailing Address - Phone:707-305-9098
Mailing Address - Fax:
Practice Address - Street 1:873 GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2518
Practice Address - Country:US
Practice Address - Phone:707-305-9098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health