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Individual
MRS. LAUREN BLAIR FONTENOT
Active
Individual
MRS. LAUREN BLAIR FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
95126679
CA
363LF0000X
Family Nurse Practitioner
10026051
OR
363LF0000X
Family Nurse Practitioner
Primary
235187
LA
363LF0000X
Family Nurse Practitioner
78163
NM
363LF0000X
Family Nurse Practitioner
878253
NV
363LF0000X
Family Nurse Practitioner
95029736
CA
Other
Enumeration date
08/22/2023
Last updated
12/04/2024
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