Individual
JOHN F. FRAICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2647 S SAINT ELIZABETH BLVD STE 100, GONZALES, LA 70737-5019
(225) 765-5500
(225) 644-5415
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013784
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1193810
—
LA
Enumeration date
07/13/2005
Last updated
12/30/2020
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