Organization
TRENT FOGLEMAN, M.D., LLC
Active
Other names
Integrative Medicine, Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ADDIE F LAVIOLETTE RN (OFFICE MANAGER)
(337) 456-7790
Entity
Organization
Contact information
Practice address
1817 BERTRAND DR., SUITE D, LAFAYETTE, LA 70506
(337) 456-7790
(337) 443-9220
Mailing address
1817 BERTRAND DR., SUITE D, LAFAYETTE, LA 70506
(337) 456-7790
(337) 443-9220
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
12/14/2006
Last updated
06/16/2018
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