Healthcare Provider Details

I. General information

NPI: 1245514686
Provider Name (Legal Business Name): DONNA ZAPPI FOX MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2011
Last Update Date: 10/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 AMBASSADOR CAFFERY PKWY SUITE 204
LAFAYETTE LA
70508-6926
US

IV. Provider business mailing address

4650 AMBASSADOR CAFFERY PKWY SUITE 204
LAFAYETTE LA
70508-6926
US

V. Phone/Fax

Practice location:
  • Phone: 337-504-5200
  • Fax: 337-504-5150
Mailing address:
  • Phone: 337-504-5200
  • Fax: 337-504-5150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number019491
License Number StateLA

VIII. Authorized Official

Name: DONNA ZAPPI FOX
Title or Position: OWNER
Credential: MD
Phone: 337-504-5200