Individual
DR. DENNIS FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 310-1161
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 310-1161
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
016826
LA
207Q00000X
Family Medicine Physician
Primary
MD.016826
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347990
—
LA
01
—
5M529
LA MEDICARE ID NUMBER-CHRISTUS ST PATRICK PHYSICAN GROUP PROVIDER ID#
LA
Enumeration date
02/14/2006
Last updated
03/11/2016
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