Individual
MR. GREGORY SCOTT LAFONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3062 KINGSDALE CTR, COLUMBUS, OH 43221-2020
(614) 484-1940
(614) 484-1941
Mailing address
750 MOUNT CARMEL MALL, COLUMBUS, OH 43222-1553
(614) 224-6420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002956
OH
Other
Enumeration date
10/20/2009
Last updated
10/11/2022
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