Individual
DR. THOMAS PAUL LAFONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
200 E SOUTHAMPTON RD, COLUMBIA, MO 65203-9533
(573) 777-7474
(573) 777-7484
Mailing address
6307 S OLD VILLAGE RD, COLUMBIA, MO 65203-9533
(573) 673-6700
(573) 442-2581
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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