MS. THEA FONTENOT, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1609474428

Practice Address

1701 OAK PARK BLVD
Lake Charles, LA 70601

Phone: (337) 494-3830

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X No 324688 (LA)
Physician Assistant - Medical 363AM0700X Yes 324688 (LA)

Frequently Asked Questions

NPI 1609474428 is the National Provider Identifier for MS. THEA FONTENOT, PA-C, a Physician Assistant - Medical provider located in Lake Charles, LA. This NPI was enumerated on October 14, 2020.
MS. THEA FONTENOT, PA-C practices at 1701 OAK PARK BLVD, Lake Charles, LA 70601.

Quick Facts

NPI
1609474428
Type
Individual
Enumerated
Oct 14, 2020
Last Updated
Sep 26, 2023

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