Individual
STEPHANIE R. FREDERIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7373 PERKINS RD., BATON ROUGE, LA 70808-4686
(225) 769-4044
Mailing address
7373 PERKINS RD., BATON ROUGE, LA 70808-4686
(225) 769-4044
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
026033
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055042
—
LA
Enumeration date
06/06/2006
Last updated
03/02/2017
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