Individual ProviderHendrix LafontantGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressNaval Medical Center San Diego 34000 Bob Wilson Drive, San Diego, CA 92134-0001(813) 351-9287PECOS EnrollmentBased on the most recent information from CMS, provider Hendrix Lafontant is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1962036954Provider TypeIndividualFull NameLafontant, HendrixTitleDr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date2/27/2020Last Updated10/16/2025Contact InformationPractice LocationPractice AddressNaval Medical Center San Diego 34000 Bob Wilson Drive, San Diego, CA 92134-0001Phone(813) 351-9287FaxUnlisted FaxMailing LocationMailing AddressNaval Medical Center San Diego 34000 Bob Wilson Drive, San Diego, CA 92134-0001Phone(813) 351-9287FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense0102206829VirginiaCode207N00000XDescriptionDermatologyAllopathic & Osteopathic PhysiciansLicense0102206829Virginia