DR. Antonio Rafael Fontanella Lara, M.D.

NPI #1952506362 in Enterprise, Alabama

Provider Information

NPI Number: 1952506362
Entity Type: Individual
Name: DR. Antonio Rafael Fontanella Lara, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 16, 2007
Last Updated: Oct 4, 2022

Practice Location

Address: 37 FOX CHASE DR
City: Enterprise
State: Alabama
ZIP Code: 36330-9339
Phone: (786) 417-1647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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