BENJAMIN SCOTT FONTENOT

LAKE CHARLES, LA
NPI1508283813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  306762)
Enumeration Date2014-03-25
Last Update Date2017-11-28
Business Address
BENJAMIN SCOTT FONTENOT
277 N HIGHWAY 171 STE 8
LAKE CHARLES, LA 70611-5374
Phone number: 337-312-0030
Mailing Address
BENJAMIN SCOTT FONTENOT
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-0030
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