Organization · Type 2 NPI
Trent Fogleman, M.d., LLC
Clinic/Center · Lafayette, LA
NPI number
1861554115
Active
Practice location
1817 Bertrand Dr., Suite D
Lafayette, LA 70506
Fax (337) 443-9220
Other practice locations
- 2602 North Dr, Abbeville, LA 70510-4043 · (337) 893-1101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Women's Health Nurse Practitioner | 363LW0102X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1861554115
Trent Fogleman, M.d., LLC's National Provider Identifier is 1861554115, issued on Dec 14, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lafayette, LA. The record was last updated on Jun 16, 2018.