Individual provider · Type 1 NPI
Laurette Susan Frazier, PHARMACIST, DSP.
Other Specialist/Technologist · Bloomington, IN
NPI number
1609053289
Active
Practice location
2815 E 10th St
Bloomington, IN 47408-2601
Mailing address
894 E Miller Dr
Bloomington, IN 47401-6712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor | 101YP1600X | 110997 (CA) |
| Pharmacist | 183500000X | 26015089A (IN) |
| Other Specialist/Technologist Primary | 246Z00000X | 197509 (IN) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Another provider at this address
About NPI 1609053289
Laurette Susan Frazier, PHARMACIST, DSP.'s National Provider Identifier is 1609053289, issued on Jan 26, 2008. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Bloomington, IN. The record was last updated on Nov 18, 2023.