Individual
DR. LISA ANNE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9500 SPENCER HWY, LA PORTE, TX 77571-3881
(281) 476-5107
Mailing address
9500 SPENCER HWY, LA PORTE, TX 77571-3881
(281) 476-5107
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3173TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123721-01
—
TX
Enumeration date
10/17/2006
Last updated
10/01/2008
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