Individual
MRS. BONNIE RUTH FRUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 494-6865
(337) 494-6869
Mailing address
P O BOX 122108, DEPT 2108, DALLAS, TX 75312-2108
(337) 480-8066
(337) 480-8064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN054410-AP03579
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1431869
—
LA
Enumeration date
03/24/2006
Last updated
06/27/2018
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