Individual
MELANIE MONTGOMERY BIENVENU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
2390 W. CONGRESS ST., LAFAYETTE, LA 70506
(337) 261-6759
(337) 261-6795
Mailing address
2390 W. CONGRESS ST., LAFAYETTE, LA 70506
(337) 261-6759
(337) 261-6795
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
206954
LA
207RG0100X
Gastroenterology Physician
33915
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2371118
—
LA
Enumeration date
06/19/2008
Last updated
06/01/2021
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