Individual
DR. PATRICK MARTIN FONTENOT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
525 N CITIES SERVICE HWY, SULPHUR, LA 70663-4107
(337) 625-9075
(337) 625-8105
Mailing address
1766 JUSTIN LN, LAKE CHARLES, LA 70605-7110
(337) 625-9075
(337) 625-8105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1322457T
LA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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