Individual
DR. ERIC PAUL FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1219 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
(337) 233-4980
(337) 233-4980
Mailing address
1219 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
(337) 233-4980
(337) 233-4980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201186
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1066117
—
LA
Enumeration date
11/06/2006
Last updated
07/16/2013
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