Provider Demographics
NPI:1093736662
Name:FRIEDRICH, ALLEYN EMORY SR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEYN
Middle Name:EMORY
Last Name:FRIEDRICH
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4233 HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-0213
Mailing Address - Country:US
Mailing Address - Phone:337-383-7262
Mailing Address - Fax:
Practice Address - Street 1:1535 3RD ST
Practice Address - Street 2:#285
Practice Address - City:FT POLK
Practice Address - State:LA
Practice Address - Zip Code:71459
Practice Address - Country:US
Practice Address - Phone:337-531-2344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044460207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine