Provider Demographics
NPI:1427215094
Name:FRASER, JUSTIN F (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:F
Last Name:FRASER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:800 ROSE ST
Mailing Address - Street 2:MS 106
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-7001
Mailing Address - Country:US
Mailing Address - Phone:859-323-5661
Mailing Address - Fax:859-257-8902
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:MS 106
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-7001
Practice Address - Country:US
Practice Address - Phone:859-323-5661
Practice Address - Fax:859-257-8902
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY44126207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery