Individual
LESLEA ELDRIDGE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2001 SE JACKSON ST, STUART, FL 34997-5861
(772) 283-3076
(772) 283-3076
Mailing address
2001 SE JACKSON ST, STUART, FL 34997-5861
(772) 283-3076
(772) 283-3076
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1186941
FL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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