Individual
ALYSSA GUILLORY FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(225) 636-1777
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(225) 636-1777
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902547
—
LA
Enumeration date
03/28/2025
Last updated
12/02/2025
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