Organization
LA-TISHA L FRAZIER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA L FRAZIER ARNP (ARNP/MANAGER)
(502) 554-5851
Entity
Organization
Contact information
Practice address
6214 MOORHAVEN DR, LOUISVILLE, KY 40228-1477
(502) 554-5851
Mailing address
6214 MOORHAVEN DR, LOUISVILLE, KY 40228-1477
(502) 554-5851
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4353P
KY
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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