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MARY NECOLOA FONTENOT NPI 1346744042


NPI Information

NPI: 1346744042
Provider Name: MARY NECOLOA FONTENOT
Classification: Contractor - 171WV0202X
Entity Type: Individual

Specialization: Vehicle Modifications

Address:
1324 ROSETTA ST
LAKE CHARLES, LA
ZIP 70607
Phone: (337) 912-8617
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Mary Necoloa Fontenot is a vehicle modifications contractor in Lake Charles, LA. The provider is a contractor who makes modifications to private vehicles to accommodate a health condition. Mary Necoloa Fontenot NPI is 1346744042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1324 ROSETTA ST
LAKE CHARLES, LA
ZIP 70607-932
Phone: (337) 912-8617

The enumeration date for this NPI number is 3/19/2018 and was last updated on 3/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171WV0202XContractorVehicle Modifications008907424LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1882717925MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.