Provider Demographics
NPI:1992141907
Name:ENZINGER, ASHLEE LAFONTAINE (MD)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:LAFONTAINE
Last Name:ENZINGER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:FAITH
Other - Last Name:LAFONTAINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2223
Mailing Address - Fax:319-353-6754
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2223
Practice Address - Fax:319-353-6754
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-48166208000000X, 2080S0010X, 207XX0005X, 2080S0010X, 207XX0005X
TNMD546212080S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine