Patrick Martin Fontenot I OD

NPI 1013029305 - Optometrist - 152W00000X

NPI Details
NPI 1013029305
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
525 N CITIES SERVICE HWY
SULPHUR LA, 70663-4107, US
Phone (337) 625-9075
Fax (337) 625-8105
Business Location
1766 JUSTIN LN
LAKE CHARLES LA, 70605-7110, US
Phone (337) 625-9075
Fax (337) 625-8105
Toxanomy
Taxonomy Code 152W00000X
License State Louisiana
License Number 1322457T
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According to our database, Dr. Patrick Martin Fontenot I OD NPI is 1013029305, taxonomy code is 152W00000X and license number is 1322457T, license state is located at Louisiana. Patrick Martin Fontenot I OD physically located at 525 N Cities Service Hwy, Sulphur LA, 70663-4107. NPI Number Patrick Martin Fontenot I OD has the Individual type.

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1013029305 NPI number is provided on an as is basis without warranty of any kind. 1013029305 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Martin Fontenot I OD are for informational purposes only.