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1043335755
LEROY E FREDERICKS
LAKE CHARLES, LA
NPI
1043335755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: LA MD10005R)
Enumeration Date
2007-03-20
Last Update Date
2022-04-27
Business Address
Dr. LEROY E FREDERICKS M.D.
2770 3RD AVE STE 210
LAKE CHARLES, LA 70601-0404
Phone number: 337-494-6768
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Mailing Address
Dr. LEROY E FREDERICKS M.D.
PO BOX 122579 DEPT 2579
DALLAS, TX 75312-2579
Phone number: 337-494-2921
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