Provider Demographics
NPI:1669465647
Name:LENFANT, JOHN LUCIEN V (DNP)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LUCIEN
Last Name:LENFANT
Suffix:V
Gender:M
Credentials:DNP
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Mailing Address - Street 1:1322 WOODMERE DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-7456
Mailing Address - Country:US
Mailing Address - Phone:504-202-0877
Mailing Address - Fax:504-281-1318
Practice Address - Street 1:6225 S CLAIBORNE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-4105
Practice Address - Country:US
Practice Address - Phone:504-864-8080
Practice Address - Fax:504-864-8020
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2015-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LARN093709 AP04428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1473855Medicaid
LAQ22674Medicare UPIN
LAQ22674Medicare UPIN