Individual
MR. SCOTT LAFOUNTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SF-IDC
Contact information
Practice address
1840 COVE ROAD, NAVAL SPECIAL WARFARE GROUP TWO MEDICAL DEPARTMENT, NORFOLK, VA 23521-2100
(757) 462-3025
(757) 462-4013
Mailing address
1840 COVE ROAD, NAVAL SPECIAL WARFARE GROUP TWO MEDICAL DEPARTMENT, NORFOLK, VA 23521-2100
(757) 462-3025
(757) 462-4013
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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