Search › Louisiana › 207Q00000X
Benjamin Fontenot
NPI 1508283813 · on the registry since 2014
Practice
- Address
- 277 N Highway 171 Ste 8
Lake Charles, LA 70611 - Phone
- (337) 312-0030
- Fax
- (337) 312-0033
- Organisation at this address
- Imperial Health Llp
Imperial Health LlpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana