person
John L Fambrough, MD
Specialist in Hammond, Louisiana
NPI 1659314623

John L Fambrough is a Specialist based in Hammond, LA. John L Fambrough practices in Hammond, LA and has the professional credentials of MD. The NPI Number for John L Fambrough is 1659314623 and holds a License No. 011330 (Louisiana).

The current practice location address for John L Fambrough is 15781 Professional Plz, Hammond, LA and can be reached out via phone at 985-542-1533 and via fax at 985-542-6713. You can also correspond with John L Fambrough through the mailing address at 15781 PROFESSIONAL PLZ, HAMMOND, LA - 70403-1452 (mailing address contact number: 985-542-1533).

Location: 15781 Professional Plz, Hammond, LA, 70403-1452
person
Provider Profile Details
NPI Number
1659314623
Provider Name
John L Fambrough
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15781 Professional Plz, Hammond, LA, 70403-1452
Phone Number
985-542-1533
Fax Number
985-542-6713
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51992C490 01 LA MEDICARE PTAN
1172561 05 LA
institution
Provider Business Practice Location Address Details
Address
15781 Professional Plz
City
State
Zip
70403-1452
Phone Number
985-542-1533
Fax Number
985-542-6713
person
Provider Business Mailing Address Details
Address
15781 Professional Plz
City
State
Zip
70403-1452
Phone Number
985-542-1533
Fax Number
985-542-6713
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
011330 (Louisiana)
Definition
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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