| Doctor Name: | MR. VERNON J FORET |
| NPI Number: | 1932252103 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PAC |
| License Number: | A10413RX |
| Business Practice Address: | 18838 Highway 3235 Galliano, LA - 703544038 |
| Business Phone Number: | 9854755522 |
| Business Fax Number: | 9854754822 |
| Mailing Address: | 18838 Highway 3235, GALLIANO |
| State: | LA |
| Postal Code: | 703544038 |
| Phone Number: | 9854755522 |
| Fax Number: | 9854754822 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 06/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | A10413RX |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |