Christian Joseph Frederickson, MD Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Jefferson, LA
- NPI
- 1124915202
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- License number
- 347615 (LA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2025-06-20
- Last updated
- 2025-06-20
Practice location
1401 Jefferson Hwy Fl Center1
Jefferson, LA 70121-2426
(504) 842-3260