Individual
LAUREN FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
311 TIMBER BARK RD, LAFAYETTE, LA 70508-1860
(337) 962-2287
Mailing address
311 TIMBER BARK RD, LAFAYETTE, LA 70508-1860
(337) 962-2287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5938
LA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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