Individual
DR. LAWRENCE JEFFREY FRAZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 S 16TH ST, SUITE 2025, MILWAUKEE, WI 53215-4534
(414) 645-8977
(414) 645-8988
Mailing address
3201 S 16TH ST, SUITE 2025, MILWAUKEE, WI 53215-4534
(414) 645-8977
(414) 645-8988
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
18499
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30185800
—
WI
Enumeration date
09/05/2006
Last updated
07/08/2007
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