Provider Demographics
NPI:1619918505
Name:FRAZIER, LYNN MICHELLE (APN)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:MICHELLE
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:11706 PLEASANT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-2343
Mailing Address - Country:US
Mailing Address - Phone:501-686-5179
Mailing Address - Fax:501-686-6248
Practice Address - Street 1:8908 KANIS RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-687-9300
Practice Address - Fax:501-687-9247
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARA01893363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care