Individual
DR. PAUL E FENN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 PATRIOT AVE, SUITE 101, LAFAYETTE, LA 70508
(337) 534-0653
(337) 534-0658
Mailing address
105 PATRIOT AVE, SUITE 101, LAFAYETTE, LA 70508-8520
(337) 534-0653
(337) 534-0658
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD.200825
LA
Other
Enumeration date
07/18/2006
Last updated
06/07/2018
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