Individual
DR. RICHARD B LAFOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5965 TRANSIT RD, CLARENCE, NY 14051
(716) 691-8838
(716) 564-1134
Mailing address
6 FOUNTAIN PLAZA, BUFFALO, NY 14202
(716) 691-8838
(716) 564-1134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
138706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00046044501
UNIVERA
NY
01
—
000510982009
BLUE CROSS BLUE SHIELD
NY
05
—
00743682
—
NY
01
—
040426000543
FIDELIS
NY
01
—
3902324
INDEPENDENT HEALTH
NY
01
—
93037718
RAILROAD MEDICARE
NY
Enumeration date
06/14/2006
Last updated
08/19/2014
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