| NPI | 1265010979 |
|---|---|
| Doing Business As | LAFAYETTE CLINIC PA |
| Entity Type | Organization |
| Authorized Contact | JACK M FOWLER VP 561-349-8388 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |