Individual
DEBORAH FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5952
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5952
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
022250
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494267
—
LA
Enumeration date
08/15/2005
Last updated
09/07/2023
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