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NPI Profile for LAURETTE S FRAZIER in BLOOMINGTON, IN.
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist/Technologist, Other |
246Z00000X | |||
Pastoral |
101YP1600X | |||
Pharmacist |
183500000X |
| NPI Number | 1609053289 |
|
| Status | Active | |
| Credentials | PHARMACIST, DSP. | |
| Entity | Individual | |
| Enumeration date | 01/26/2008 | |
| Last updated | 11/18/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LAURETTE S FRAZIER
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LAURETTE S FRAZIER, PHARMACIST, DSP.