Individual
DR. FRANK L. FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
8080 BLUEBONNET BLVD STE 2222, BATON ROUGE, LA 70810-7828
(225) 769-2222
(225) 766-2068
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
013781
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06008
BLUE CROSS
LA
05
—
1312100
—
LA
01
—
690168
AETNA
LA
Enumeration date
07/21/2005
Last updated
03/05/2024
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