Lance Stuart Fontenot, CSFA
Individual provider Active NPI Surgical Assistant · Rayne, LA
NPI 1770815219 · NPPES record last updated Jun 10, 2011
Key facts
- NPI
- 1770815219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- Practice address
- 1400 Barbara St
Rayne, LA 70578-5512 - Phone
- (337) 277-1699
- NPI assigned
- Feb 9, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Yes |
Addresses
Primary practice location
1400 Barbara St
Rayne, LA 70578-5512
Mailing address
1400 Barbara St
Rayne, LA 70578-5512
Phone (337) 277-1699
Other providers in Rayne, LA
- Andrew Joseph Eller
- Megan Estilette
- Olivia Fay Ewing
- Family Medicine of Acadiana LLC
- Fantastic 7 Transportation LLC
- Ramona Fontenot
- Katelyn Adair Freyou
- Kristy D. Fusilier
- Kimberly Bertrand Gatte
- Judd A Gautreaux
All providers in Rayne, LA · Surgical Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.