NPI 1013985530

Matthew Shane Fontenot, MD

Practitioner Nephrology Physician Lafayette, LA

Practice location

Address: 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Phone: (337) 289-7927
Fax: (337) 289-7935
Mailing address: PO Box 53092, Lafayette, LA 70505-3092

Registered specialties

Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X Licence 024987 (LA)

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Registry record

NPI: 1013985530
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2006
Record last updated: 4 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.