Individual
MISS LAURA LEE FRYCKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
38429 LAKE SHORE BLVD, WILLOUGHBY, OH 44094-7009
(440) 269-7488
(440) 946-9208
Mailing address
38429 LAKE SHORE BLVD, WILLOUGHBY, OH 44094-7009
(440) 269-7488
(440) 946-9208
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP07766
OH
Other
Enumeration date
06/26/2006
Last updated
05/14/2010
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