Individual
LISA A FRALEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
112 E 100 N, SUITE A, LOGAN, UT 84321-4638
(435) 213-3797
(435) 213-9581
Mailing address
112 E 100 N STE A, LOGAN, UT 84321-4602
(435) 213-3797
(435) 213-9581
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7825498-8904
UT
2084P0804X
Child & Adolescent Psychiatry Physician
7825498-8904
UT
Other
Enumeration date
08/23/2006
Last updated
09/23/2025
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