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Dr. Leroy E Fredericks, MD
Hematology & Oncology Physician in Lake Charles, Louisiana
NPI 1043335755

Leroy E Fredericks is a Hematology & Oncology Physician based in Dallas, LA and is specialized in Hematology & Oncology. Leroy E Fredericks practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for Leroy E Fredericks is 1043335755 and holds a License No. MD10005R (Louisiana).

The current practice location address for Leroy E Fredericks is 2770 3Rd Ave Ste 210, Lake Charles, LA and can be reached out via phone at 337-494-6768 and via fax at 337-494-6792. You can also correspond with Leroy E Fredericks through the mailing address at PO BOX 122579, DALLAS, TX - 75312-2579 (mailing address contact number: 337-494-2921).

Location: 2770 3Rd Ave Ste 210, Lake Charles, LA, 75312-2579
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Provider Profile Details
NPI Number
1043335755
Provider Name
Leroy E Fredericks
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2770 3Rd Ave Ste 210, Lake Charles, LA, 75312-2579
Phone Number
337-494-6768
Fax Number
337-494-6792
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1491217 05 LA
MD.10005R 01 LA STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2770 3Rd Ave Ste 210
City
State
Zip
70601-0404
Phone Number
337-494-6768
Fax Number
337-494-6792
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Provider Business Mailing Address Details
Address
2770 3Rd Ave Ste 210
City
State
Zip
70601-0404
Phone Number
337-494-6768
Fax Number
337-494-6792
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
MD10005R (Louisiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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