Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1356669030 |
---|---|
Provider Name | Dr. Jennifer Laffin |
First Address | Madison, WI 53706-1501 |
Second Address | Madison, WI 53706-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2010 |
Last Update Date | 05/05/2010 |