Individual
GEORGE THOMAS LAFORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7927 PAINTER AVE STE 200, WHITTIER, CA 90602-2480
(562) 682-6556
Mailing address
PO BOX 30310, LONG BEACH, CA 90853-0310
(562) 682-6556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9652
CA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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