Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL F LA FOUNTAINE, EDD, ATC, FACSM
ActiveDR. MICHAEL F LA FOUNTAINE, EDD, ATC, FACSM is a Athletic Trainer healthcare provider located in SOUTH ORANGE, New Jersey. NPI 1225656507 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SOUTH ORANGE, NJ
Registration Details
- NPI Number
- 1225656507
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2020 (5.909081576596 yrs)
- Last Updated
- Jul 13, 2020
- License
-
25MT00116500 (NJ)
Practice Information
- Address
-
400 S ORANGE AVESOUTH ORANGE, NJ, 070792697Browse NJ providers · Browse ZIP 07079
- Phone
- 9732752918
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SOUTH ORANGE, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY E MURRAY | ATC | 1215133244 |
| MS. CRISTA ANN SCIANCALEPORE | ATC | 1932486552 |
| KAAREN WARNES | ATC | 1295125037 |
| THEODORE COWLING | ATC | 1750756516 |
| KATE STOLTZ | MS, ATC | 1114456159 |
| EUGENIA LAVANANT | — | 1750894234 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.