Dr. Matthew Shane Fontenot
Nephrologist
1214 Coolidge Blvd
Lafayette
, Louisiana 70503-2621
Dr. Matthew Shane Fontenot
Nephrologist
1214 Coolidge Blvd
Lafayette
, Louisiana 70503-2621
(337) 289-8970
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Matthew Shane Fontenot
- Po Box 53092
- Lafayette, LA
- Zip : 70505-3092
- Fax : (337) 289-8970
- Phone : (337) 289-8978
Second Address
- Dr. Matthew Shane Fontenot
- 1214 Coolidge Blvd
- Lafayette, LA
- Zip : 70503-2621
- Fax : (337) 289-7935
- Phone : (337) 289-7927
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 024987 | LA |
National Provider Identifier
| NPI | 1013985530 |
|---|---|
| Provider Name | Dr. Matthew Shane Fontenot |
| First Address | Lafayette, LA 70505-3092 |
| Second Address | Lafayette, LA 70503-2621 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2006 |
| Last Update Date | 04/08/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.