Individual
RUDOLPH LAFONTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2629 BEAVER AVE, SUITE 15, DES MOINES, IA 50310-3991
(515) 223-5219
(515) 274-9443
Mailing address
3613 BEAVER AVE, DES MOINES, IA 50310-3273
(515) 223-5219
(515) 223-9344
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00597
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01001290
RAILROAD MEDICARE
IA
Enumeration date
05/03/2006
Last updated
03/17/2020
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