Individual provider · Type 1 NPI

Juan M. Fukuda, MD

Specialist · Lafayette, LA

NPI number 1154314904 Active

Practice location

4600 Ambassador Caffery Pkwy, Pediatric Emergency Medicine
Lafayette, LA 70508-6902

Call (337) 521-9027 Map

Fax (337) 521-9164

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X14374R (LA)
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X14374R (LA)
Pediatrics Physician 208000000X14374R (LA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154314904

Juan M. Fukuda, MD's National Provider Identifier is 1154314904, issued on Aug 26, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lafayette, LA. The record was last updated on Feb 4, 2011.