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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. THEA CHRISTINE FONTENOT, PA-C

Active Sole Proprietor

MS. THEA CHRISTINE FONTENOT, PA-C is a Medical Physician Assistant healthcare provider located in LAKE CHARLES, Louisiana. NPI 1609474428 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LAKE CHARLES, LA

Registration Details

NPI Number
1609474428
Provider Type
Individual
Gender
Female
NPI Issued
Oct 14, 2020 (5.79672772311 yrs)
Last Updated
Sep 26, 2023
Licenses
324688 (LA)
324688 (LA)
Sole Proprietor
Yes

Practice Information

Address
1701 OAK PARK BLVD
LAKE CHARLES, LA, 706018911
Browse LA providers · Browse ZIP 70601
Phone
3374943830
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LAKE CHARLES, LA

Name Credential NPI
KEVIN JAMES MURPHY PA-C 1124026950
JULIE ODONNELL PA C 1134188808
MISS NOELLE R LEGER PAC 1861701161
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.