Provider Demographics
NPI:1033661053
Name:FRYER, ANN LINCOLN (RD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LINCOLN
Last Name:FRYER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 LA CUMBRE CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4442
Mailing Address - Country:US
Mailing Address - Phone:805-698-3589
Mailing Address - Fax:
Practice Address - Street 1:32 LA CUMBRE CIR
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4442
Practice Address - Country:US
Practice Address - Phone:805-698-3589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered