Individual
MARC FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 RUE LOUIS XIV BLDG 5, LAFAYETTE, LA 70508-5786
(337) 269-7494
Mailing address
105 INNISBROOK DR, BROUSSARD, LA 70518-6102
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.301084
LA
207Q00000X
Family Medicine Physician
Primary
301084
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2014
Last updated
02/01/2018
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