Lafond, Mark David

Lafond, Mark David is an individual health care provider with primary practice located at 2109 Fairburn Rd , Douglasville GA 30135-1037. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lafond, Mark David can be contacted via phone (770) 726-7958.

Contact Information

Primary practice address
2109 Fairburn Rd Douglasville GA 30135-1037
Phone: (770) 726-7958
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1376189431
LBN Legal business name Lafond, Mark David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2019
Last updated Nov 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376189431 NPPES
Georgia Other 054516517 DRIVERS LICENSE

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