NPI 1033316310

Bennett Fontenot, MD

Practitioner Surgery Physician Lafayette, LA

Practice location

Address: 900 E Saint Mary Blvd STE 104, Lafayette, LA 70503-2378
Phone: (337) 504-3640
Mailing address: 104 Fernridge Dr, Lafayette, LA 70508-5444

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD.205820 (LA)

Other Surgery providers in Louisiana →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence LL30088 (SC)

Registry record

NPI: 1033316310
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2007
Record last updated: 17 Mar 2018

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.