# EUGENE M FONTENOT MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154977197
- **Authorized official:** EUGENE FONTENOT MD (OWNER)
- **Authorized official phone:** (337) 474-2056

## Contact information

- **Practice address:** 4150 NELSON RD, BUILDING A SUITE 1, LAKE CHARLES, LA 70605
- **Practice address phone:** (337) 474-2056
- **Practice address fax:** (337) 477-9334
- **Mailing address:** 4150 NELSON RD STE A1, LAKE CHARLES, LA 70605-4169
- **Mailing address phone:** (337) 474-2056
- **Mailing address fax:** (337) 477-9334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2019
- **Last updated:** 10/09/2019