Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lazau P Fougere, MD

Individual provider Family Medicine Physician · NPI 1699088104

Lazau P Fougere, MD is a Family Practice in Temple Terrace, Florida. Qualified in 2003, 23 years ago. Practices with Wellmed Medical Management of Florida Inc, a 159-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5503 E Busch Blvd
Temple Terrace, FL 33617-5419
Phone: (813) 200-7717
Fax: (813) 985-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME122282 (FL)

Record details

NPI number1699088104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2010
Last updated in NPPESJune 22, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Wellmed Medical Management Of Florida Inc — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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