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Search › Florida › 207Q00000X

Lazau Fougere, MD

NPI 1699088104 · on the registry since 2010

Practice

Address
5503 E Busch Blvd
Temple Terrace, FL 33617
Phone
(813) 200-7717
Fax
(813) 985-8500
Organisation at this address
Ctm Healthcare Llc
Ally Healthcare, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-22

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 Florida