Individual
DR. THOMAS MICHAEL LAFOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
130 LOMOND CT, UTICA, NY 13502-5951
(315) 732-3400
(315) 732-4250
Mailing address
130 LOMOND CT, UTICA, NY 13502-5951
(315) 732-3400
(315) 732-4250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X003195
NY
111NX0800X
Orthopedic Chiropractor
Primary
X003195
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10032541
CDPHP
—
01
—
161456769
UNITED HEALTHCARE
—
01
—
30246
GHI
—
01
—
NY03195
LANDMARK HEALTHCARE
—
Enumeration date
07/18/2006
Last updated
01/09/2020
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