Individual
JEANNE LEJEUNE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
707 E PRIEN LAKE RD STE A, LAKE CHARLES, LA 70601-8788
(337) 475-3208
Mailing address
1424 CAMBRIDGE CT, LAKE CHARLES, LA 70605-6145
(337) 477-0786
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN040648
LA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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