BENNETT FONTENOT

LAFAYETTE, LA
NPI1033316310
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: LA  MD.205820)
Additional Taxonomies208600000X Surgery
(Licence: SC  LL30088)
Enumeration Date2007-06-29
Last Update Date2018-03-17
Business Address
BENNETT FONTENOT M.D.
900 E SAINT MARY BLVD STE 104
LAFAYETTE, LA 70503-2378
Phone number: 337-504-3640
Mailing Address
BENNETT FONTENOT M.D.
104 FERNRIDGE DR
LAFAYETTE, LA 70508-5444
Phone number: 337-504-6271
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