Individual
DR. LAWRENCE A FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 MAIN ST, HYANNIS, MA 02601-3146
(508) 771-9599
(508) 771-1986
Mailing address
94 MAIN ST, HYANNIS, MA 02601-3146
(508) 771-9599
(508) 771-1986
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
163932
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01023716
—
NY
Enumeration date
01/22/2007
Last updated
10/17/2011
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