LAURETTE SUSAN FRAZIER PHARMACIST, DSP.
NPI 1609053289
Specialist/Technologist, Other in Bloomington, IN
- Individual
- Female
- Specialist/Technologist, Other
About LAURETTE FRAZIER
This page provides the complete NPI Profile along with additional information for Laurette Frazier, a provider established in Bloomington, Indiana with a medical specialization in Specialist/technologist, Other. The healthcare provider is registered in the NPI registry with number 1609053289 assigned on January 2008. The practitioner's primary taxonomy code is 246Z00000X with license number 197509 (IN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1609053289 Verify this NPI
- Provider Name
- LAURETTE SUSAN FRAZIER PHARMACIST, DSP.
- Other Name
- LAURETTE SUSAN FRAZIER PASTORAL COUNSELOR
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2815 E 10TH ST BLOOMINGTON, IN 47408
- Location Phone
- (812) 679-2207
- Mailing Address
- 894 E MILLER DR BLOOMINGTON, IN 47401
- Mailing Phone
- (812) 679-2207
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-26-2008
- Last Update Date
- 11-18-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist, Other
- Taxonomy Code
- 246Z00000X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- 197509
- License State
- IN
- Taxonomy Description
- General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | 110997 (CA) |
| 2 | 183500000X | Pharmacy Service Providers | Pharmacist | 26015089A (IN) |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609053289, enumerated as an "individual" on January 26, 2008.
The provider is located at 2815 E 10TH ST BLOOMINGTON, IN 47408 and the phone number is (812) 679-2207.
Specialist/Technologist, Other with taxonomy code 246Z00000X.
