Most Relevant Information
Provider Data
| NPI Number: | 1003257833 |
| Provider Name: | JAYAPRABHA VIJAYKUMAR LAFONTAINE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0804X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 2018041326 |
Most Important Dates
| Enumeration Date: | 07/09/2013 |
| Last Updated: | 09/08/2023 |
Provider Practice Location
1300 E BRADFORD PKWY
SPRINGFIELD
MO
658044264
Practice Location Phone/Fax
| Phone: | 4177615000 |
| Fax: | 4177615011 |
Provider Mailing Location
2885 W BATTLEFIELD ST
SPRINGFIELD
MO
658073952
Provider Mailing Phone/Fax
| Phone: | 4177615214 |
| Fax: |