Frazier, Laurette Susan
Frazier, Laurette Susan is an sole proprietor health care provider with primary practice located at 2815 E 10Th St , Bloomington IN 47408-2601. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Pharmacy Service Providers / Pharmacist, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other is her primary health care specialty. Frazier, Laurette Susan can be contacted via phone (812) 679-2207.Contact Information
Primary practice address
2815 E 10Th St
Bloomington IN 47408-2601
Phone: (812) 679-2207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 110997 | California |
| Pharmacy Service Providers / Pharmacist | 183500000X | 26015089A | Indiana |
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other | 246Z00000X | 197509 | Indiana |
Profile Details
| NPI number | 1609053289 |
|---|---|
| LBN Legal business name | Frazier, Laurette Susan |
| Credentials | PHARMACIST, DSP. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2008 |
| Last updated | Nov 18th, 2023 - about 3 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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