Larry L Fontanilla in Lacey - Internal Medicine
Larry L Fontanilla - NPI 1518908797
Larry L Fontanilla is a Internal Medicine in Lacey, Washington. Larry L Fontanilla practices all healthcare services and medical treatments related to Internal 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 | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | MD00043682 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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 Internal Medicine, and the corresponding taxonomy code is 207R00000X.
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