Individual
MICHAEL L FAJONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 SW RAILROAD AVE, HAMMOND, LA 70403-6113
(985) 345-0050
(985) 345-5800
Mailing address
PO BOX 2988, HAMMOND, LA 70404-2988
(985) 345-0050
(985) 345-5800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10542
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105813
—
LA
01
—
180006364
RAILROAD MEDICARE
LA
Enumeration date
07/11/2005
Last updated
04/24/2015
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