Individual
MR. LANCE STUART FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1400 BARBARA ST, RAYNE, LA 70578-5512
(337) 277-1699
Mailing address
1400 BARBARA ST, RAYNE, LA 70578-5512
(337) 277-1699
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/09/2010
Last updated
06/10/2011
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