Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP121908 | TX |
N | 363LW0102X | Nurse Practitioner - Women's Health | 04097 | LA |
NPI | 1033155684 |
---|---|
Provider Name | Ms. Paula Fontenot Lahaye |
First Address | Houston, TX 77024-2301 |
Second Address | Baton Rouge, LA 70895 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 25/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1144452 | (05) | LA |