MATTHEW SHANE FONTENOT

LAFAYETTE, LA
NPI1013985530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: LA  024987)
Enumeration Date2006-03-10
Last Update Date2009-08-04
Business Address
Dr. MATTHEW SHANE FONTENOT M.D.
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7927
Mailing Address
Dr. MATTHEW SHANE FONTENOT M.D.
PO BOX 53092
LAFAYETTE, LA 70505-3092
Phone number: 337-289-8978
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