Individual
ELIZABETH LYNNE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33664 BAYVIEW MEDICAL DR UNIT 2, LEWES, DE 19958-1687
(302) 645-5650
(302) 645-5481
Mailing address
12502 OCEAN REEF DR, BERLIN, MD 21811-2726
(443) 614-2044
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
LZ-0000118
DE
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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