Search › Louisiana › 363AM0700X
Thea Fontenot, PA-C
NPI 1609474428 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1701 Oak Park Blvd
Lake Charles, LA 70601 - Phone
- (337) 494-3830
- Organisation at this address
- James G. Maze, Md, Apmc
Memorial Medical Group, Llc
Lc Of Louisiana Healthcare Llc
Swla Center For Health Services
Lake Charles Medical Services, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AS0400X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-26
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