Provider Demographics
NPI:1164457198
Name:FRASER, FRANCIS ALOUYSIOUS (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:ALOUYSIOUS
Last Name:FRASER
Suffix:
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 1:700 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-4719
Mailing Address - Country:US
Mailing Address - Phone:337-238-0620
Mailing Address - Fax:337-238-0530
Practice Address - Street 1:700 S 6TH ST
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-4719
Practice Address - Country:US
Practice Address - Phone:337-238-0620
Practice Address - Fax:337-238-0530
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV16322208800000X
KY28473208800000X
LAMD07209R208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0130174000Medicaid
KY64698566Medicaid
LA1384437Medicaid
KY64698566Medicaid
LA1384437Medicaid