Individual
DAKOTA FREDERICK JENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY STE 230, LAFAYETTE, LA 70508-8800
(337) 470-0014
(337) 470-6495
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-0014
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021-02475
NC
207RH0003X
Hematology & Oncology Physician
2021-02475
NC
207RH0003X
Hematology & Oncology Physician
Primary
343254
LA
Other
Enumeration date
03/27/2018
Last updated
08/02/2024
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