Individual
DR. SCOTT FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
18488 KENYON AVE, LAKEVILLE, MN 55044-6911
(952) 435-3505
Mailing address
18869 KABOT COVE, LAKEVILLE, MN 55044-6800
(952) 200-7271
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2182
MN
Other
Enumeration date
10/06/2006
Last updated
09/29/2014
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