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Dr. Larry L Fontanilla JR., MD
Internal Medicine Physician in Olympia, Washington
NPI 1518908797

Larry L Fontanilla JR. is a Internal Medicine Physician based in Lacey, WA. Larry L Fontanilla JR. practices in Olympia, WA and has the professional credentials of MD. The NPI Number for Larry L Fontanilla JR. is 1518908797 and holds a License No. MD00043682 (Washington).

The current practice location address for Larry L Fontanilla JR. is 413 Lilly Rd Ne, Olympia, WA and can be reached out via phone at 360-491-9480.

Location: 413 Lilly Rd Ne, Olympia, WA, 98509-5007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518908797
Provider Name
Larry L Fontanilla JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
413 Lilly Rd Ne, Olympia, WA, 98509-5007
Phone Number
360-491-9480
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
191058 01 WA L & I
2537FO 01 REGENCE BS
8396830 05 WA
8939281 01 WA CRIME VICTIMS
H39247 01 GROUP HEALTH
P00234764 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
413 Lilly Rd Ne
City
Olympia
State
Washington
Zip
98506-5133
Phone Number
360-491-9480
Fax Number
person
Provider Business Mailing Address Details
Address
413 Lilly Rd Ne
City
Olympia
State
Washington
Zip
98506-5133
Phone Number
360-491-9480
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
MD00043682 (Washington)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
MD00043682 (Washington)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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