Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURETTE SUSAN FRAZIER, PHARMACIST, DSP.
Active Sole ProprietorLAURETTE SUSAN FRAZIER, PHARMACIST, DSP. is a Specialist/Technologist, Surgical healthcare provider located in BLOOMINGTON, Indiana. NPI 1609053289 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1609053289
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2008 (18.570420230651 yrs)
- Last Updated
- Nov 18, 2023
- Licenses
-
110997 (CA)26015089A (IN)197509 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2815 E 10TH STBLOOMINGTON, IN, 474082601Browse IN providers · Browse ZIP 47408
- Phone
- 8126792207
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
- Additional Specialty
- Pharmacist
- Additional Specialty
- Specialist/Technologist, Surgical
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.