MEDICARE: DR. MERIL JOSEPH DUFRENE JR. D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	761	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3079A	OTHER	LA	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1285612150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MERIL JOSEPH DUFRENE JR. D.C.

Provider Business Mailing Address
First Line	:	3327 JACKSON ST
Second Line	:	SUITE F
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3372
Country	:	US
Telephone Number	:	318-445-2513
Fax Number	:	318-445-2910

Provider Business Practice Location Address
First Line	:	3327 JACKSON ST
Second Line	:	SUITE F
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3372
Country	:	US
Telephone Number	:	318-445-2513
Fax Number	:	318-445-2910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	05/20/2026

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