Trent Fogleman, M.D., LLC
Organization Active NPI Clinic/Center · Lafayette, LA
NPI 1861554115 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1861554115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- TRENT FOGLEMAN, M.D., LLC
- Practice address
- 1817 Bertrand Dr.
Suite D
Lafayette, LA 70506 - Phone
- (337) 456-7790
- Fax
- (337) 443-9220
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Addie F Laviolette, RN
- Title
- Office Manager
- Phone
- (337) 456-7790
Practitioners 7
-
Trent James Fogleman, M.D.
-
Rebecca F Davis, APRN, CNM
-
Miranda Leigh Hebert, DNP, APRN
-
Ashley Romero Parich, PA-C
-
Ebony Harris, WHNP-BC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes | ||
| Women's Health Nurse Practitioner |
363LW0102X |
Addresses
Primary practice location
1817 Bertrand Dr.
Suite D
Lafayette, LA 70506
Mailing address
1817 Bertrand Dr.
Suite D
Lafayette, LA 70506
Phone (337) 456-7790
Other practice location 1
2602 North Dr
Abbeville, LA 70510-4043
Phone (337) 893-1101
Other names
- Women's Clinic
- Integrative Medicine
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. 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.