Provider Demographics
NPI:1982280418
Name:LAFLEUR, CRYSTAL BREANN (DO)
Entity type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:BREANN
Last Name:LAFLEUR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:III MARINE EXPEDITIONARY FORCE SURGEON
Mailing Address - Street 2:UNIT 35605
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96382
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:III MEF FORCE SURGEONS OFFICE
Practice Address - Street 2:UNIT 35605
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96382-5605
Practice Address - Country:US
Practice Address - Phone:315-622-3066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.080354207P00000X
IL036.174442207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine