Individual
MALLORI M FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9103 JEFFERSON HWY, BATON ROUGE, LA 70809-2440
(225) 927-1190
(225) 927-0988
Mailing address
19850 OLD SCENIC HWY, SUITE 300, ZACHARY, LA 70791-7384
(225) 570-2732
(225) 570-2652
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
AP08798
LA
363L00000X
Nurse Practitioner
AP08798
LA
Other
Enumeration date
07/19/2016
Last updated
02/05/2020
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