Individual
FLEURETTE WILHEIMINA ABREO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
2915 MISSOURI AVE, SHREVEPORT, LA 71109-4327
(318) 621-8820
(318) 212-4189
Mailing address
PO BOX 731280, DALLAS, TX 75373-1280
(318) 841-9526
(318) 841-9551
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
06698R
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.06698R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361933
—
LA
01
—
13819629
CAQH
LA
Enumeration date
07/10/2006
Last updated
07/12/2016
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