Bonnie R Fruge


Address: 1715 Common St, Lake Charles, LA 70601-6135

Bonnie R Fruge (NPI# 1710947635, PAC ID# 2163314113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1710947635
PAC ID by PECOS 2163314113
Professional Enrollment ID I20040325001462
Full Name Bonnie R Fruge
Address 1715 Common St
Lake Charles
LA 70601-6135
Gender F
Credential NP
Graduation Year 1999
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190060 LAKE CHARLES MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
1000 Walters St, Lcms Rehabilitation Institute of Sw, Lake Charles, LA 70607-4647 3374808066 LCMS REHABILITATION INSTITUTE OF SOUTHWEST LOUISIANA
1715 Common St, Lake Charles, LA 70601-6135
2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 3374777091 LCMS REHABILITATION INSTITUTE OF SOUTHWEST LOUISIANA

Organization Information

Office Location

Street Address 1715 COMMON ST
City LAKE CHARLES
State LA
Zip 70601-6135

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Name Specialty Organization Address
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Amanda V Burnett Nurse Practitioner Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Jennifer Taylor Graham Nurse Practitioner Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Susan B Bourgeois Ieyoub Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Haley Angelle Landry Nurse Practitioner Lcms Pulmonary Associates of Southwest Louisiana 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Karie Joy Savoy Nurse Practitioner Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Ronald M Lewis Jr. Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Brian D Clements Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Cristian Romero Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Find all physicians in zip 70601

Competitor

Search similar physicians

City LAKE CHARLES
Zip Code 70601
Specialty NURSE PRACTITIONER
City + Specialty LAKE CHARLES + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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