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RUDOLPH LAFONTANT DPM PC NPI 1801075858


NPI Information

NPI: 1801075858
Provider Name: RUDOLPH LAFONTANT, DPM, PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1701 22ND ST STE 105
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 963-9464
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RUDOLPH LAFONTANT, DPM, PC is a podiatrist in West Des Moines, IA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. RUDOLPH LAFONTANT, DPM, PC NPI is 1801075858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1701 22ND ST STE 105
WEST DES MOINES, IA
ZIP 50266-443
Phone: (515) 963-9464
Fax: (515) 963-9467

The provider's authorized official is Kyle Shupe .
The authorized official title is Ceo and has the following contact phone number (515) 963-9464.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 9/2/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist00597IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U47297MEDICARE UPINIOWA
2DE4738OTHERRAILROAD MEDICARE
3I7655MEDICARE PINIOWA
40934390001OTHERIOWADMERC
50415927MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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