Brandy Fontenot
NPI #1205425154 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1205425154
- Entity Type
- Individual
- Name
- Brandy Fontenot
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 14, 2021
- Last Updated
- Jun 14, 2023
Practice Location
- Address
- 630 BRIARWOOD DR
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70605-1518
- Phone
- (337) 526-1364
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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