Individual provider · Type 1 NPI

Leroy E. Fredericks, MD

Hematology & Oncology Physician · Lake Charles, LA

NPI number 1043335755 Active

Practice location

2770 3rd Ave Ste 210
Lake Charles, LA 70601-0404

Fax (337) 494-6792

Mailing address

PO Box 122579, Dept 2579
Dallas, TX 75312-2579

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XMD10005R (LA)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1043335755

Leroy E. Fredericks, MD's National Provider Identifier is 1043335755, issued on Mar 20, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Lake Charles, LA. The record was last updated on Apr 27, 2022.