Individual
LIANA FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD, LDN
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2632
(860) 798-0268
Mailing address
55 FRUIT ST, BOSTON, MA 02114
(860) 798-0268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1183264
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
01/22/2025
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