Fraser, Lionel B

Fraser, Lionel B is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 360 , Jackson MS 39216-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fraser, Lionel B can be contacted via phone (601) 200-4370.

Contact Information

Primary practice address
971 Lakeland Dr Ste 360 Jackson MS 39216-4607
Phone: (601) 200-4370
Fax: (601) 200-4375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 09524 Mississippi

Profile Details

NPI number 1609983725
LBN Legal business name Fraser, Lionel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Aug 27th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609983725 NPPES
Mississippi MEDICAID 0011047

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