Individual
DR. LEROY E FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2770 3RD AVE STE 210, LAKE CHARLES, LA 70601-0404
(337) 494-6768
(337) 494-6792
Mailing address
PO BOX 122579, DEPT 2579, DALLAS, TX 75312-2579
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD10005R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1491217
—
LA
01
—
MD.10005R
STATE MEDICAL LICENSE
LA
Enumeration date
03/20/2007
Last updated
04/27/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us