Organization
EUGENE M FONTENOT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE FONTENOT MD (OWNER)
(337) 474-2056
Entity
Organization
Contact information
Practice address
4150 NELSON RD, BUILDING A SUITE 1, LAKE CHARLES, LA 70605
(337) 474-2056
(337) 477-9334
Mailing address
4150 NELSON RD STE A1, LAKE CHARLES, LA 70605-4169
(337) 474-2056
(337) 477-9334
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
10/09/2019
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