Provider Demographics
NPI:1730565250
Name:LAFON, AFANWINGONG CHE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:AFANWINGONG
Middle Name:CHE
Last Name:LAFON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 BROOKSIDE RD STE 240
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9023
Mailing Address - Country:US
Mailing Address - Phone:610-572-9659
Mailing Address - Fax:484-350-3749
Practice Address - Street 1:1005 BROOKSIDE RD STE 240
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9023
Practice Address - Country:US
Practice Address - Phone:610-351-0419
Practice Address - Fax:484-350-3749
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016658363LG0600X, 363LP2300X
PASP026262363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care