Lefort, Athena Fuqua
Lefort, Athena Fuqua is an sole proprietor health care provider with primary practice located at 1101 Medical Center Blvd West Jefferson Pediatric Er, Marrero LA 70072-3147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lefort, Athena Fuqua can be contacted via phone (504) 349-1554.Contact Information
Primary practice address
1101 Medical Center Blvd West Jefferson Pediatric Er
Marrero LA 70072-3147
Phone: (504) 349-1554
Fax: (504) 349-1579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.201781 | Louisiana |
Profile Details
| NPI number | 1386836476 |
|---|---|
| LBN Legal business name | Lefort, Athena Fuqua |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Oct 5th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386836476 | NPPES |
| Louisiana | MEDICAID | 1508306 |
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