Individual
TRACY L FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
987 R C HOAG DR, LIONEL R JOHN HEALTH CENTER, SALAMANCA, NY 14779-1365
(716) 945-5894
(716) 945-5889
Mailing address
987 R C HOAG DR, LIONEL R JOHN HEALTH CENTER, SALAMANCA, NY 14779-1365
(716) 945-5894
(716) 945-5889
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6513191
INDEPENDENT HEALTH
NY
Enumeration date
10/04/2006
Last updated
07/08/2007
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