# LAURETTE SUSAN FRAZIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609053289
- **Gender:** F
- **Credential:** PHARMACIST, DSP.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | 110997 | CA | — |
| 183500000X | Pharmacist | 26015089A | IN | — |
| 246Z00000X | Other Specialist/Technologist | 197509 | IN | Yes |

## Other

- **Enumeration date:** 01/26/2008
- **Last updated:** 11/18/2023