Larry L Fontanilla in Lacey - Emergency Medicine
Larry L Fontanilla - NPI 1518908797
Larry L Fontanilla is a Emergency Medicine in Lacey, Washington. Larry L Fontanilla practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Larry L Fontanilla is 1518908797. The last update date is 2007-11-27.
Larry L Fontanilla's current location address is Po Box 5007, Lacey, Washington. You can contact this provider via phone number 8005990166. The mailing address for Larry L Fontanilla is Po Box 5007, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry L Fontanilla |
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Address | Po Box 5007, Lacey, Washington |
Phone Number | 8005990166 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1518908797 |
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Provider Enumeration Date | 2006-06-09 |
Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
Address | Po Box 5007 |
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City | Lacey |
State | Washington (WA) |
Post Code | 985095007 |
Phone Number | 8005990166 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Emergency Medicine |
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Taxonomy | 207P00000X |
Licence No | MD00043682 |
Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
191058 | WA L & I | ||
2537FO | REGENCE BS | ||
8396830 | WA | -- | |
8939281 | WA CRIME VICTIMS | ||
H39247 | GROUP HEALTH | ||
P00234764 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Larry L Fontanilla by the Centers for Medicare & Medicaid Services?
The Larry L Fontanilla has been issued the NPI (National Provider Identifier) 1518908797, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Larry L Fontanilla is physically located?
The Larry L Fontanilla is situated at the following address: Po Box 5007, Lacey, WA 985095007.
What is the Larry L Fontanilla's specialty and taxonomy code?
The Larry L Fontanilla's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.
When was the Larry L Fontanilla's 1518908797 issued?
The Larry L Fontanilla's 1518908797 was issued on 2006-06-09.
When was the information pertaining to Larry L Fontanilla most recently updated or revised?
The details related to Larry L Fontanilla, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-27.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY