Most Relevant Information
Provider Data
  | NPI Number: | 1003345307 | 
| Provider Name: | PAIGE V LAFAVE | 
| Entity Type: | Individual | 
| Taxonomy Code: | 247200000X | 
| Specialty: | Technician, Other | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 06/08/2017 | 
| Last Updated: | 03/17/2018 | 
Provider Practice Location
  41521 W 11 MILE RD
      
      NOVI
      MI
      483751803
  Practice Location Phone/Fax
      | Phone: | 2482990030 | 
| Fax: | 
Provider Mailing Location
  41521 W 11 MILE RD
      
      NOVI
      MI
      483751803
  Provider Mailing Phone/Fax
      | Phone: | 2482990030 | 
| Fax: |