Individual
DR. LA-TISHA FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1319 PUNAHOU ST STE 824, HONOLULU, HI 96826-1032
(808) 203-6532
(808) 955-2174
Mailing address
1319 PUNAHOU ST STE 824, HONOLULU, HI 96826-1032
(808) 203-6532
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
MD-24448
HI
363L00000X
Nurse Practitioner
3004353
KY
363LA2200X
Adult Health Nurse Practitioner
4353P
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2007
Last updated
06/19/2024
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