Individual provider · Type 1 NPI

Lisa L. Fraga, MD

Specialist · Southlake, TX

NPI number 1356393789 Active

Practice location

1545 E Southlake Blvd, Suite 140
Southlake, TX 76092

Call (817) 748-0200 Map

Fax (817) 749-0204

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XJ8570 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1356393789

Lisa L. Fraga, MD's National Provider Identifier is 1356393789, issued on May 16, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southlake, TX. The record was last updated on Jan 16, 2008.