Provider Demographics
NPI:1669855649
Name:FRASIER, LADAWN (LMT, DOULA, CHHP)
Entity Type:Individual
Prefix:
First Name:LADAWN
Middle Name:
Last Name:FRASIER
Suffix:
Gender:F
Credentials:LMT, DOULA, CHHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3575D MAYBANK HWY # 133
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-4823
Mailing Address - Country:US
Mailing Address - Phone:843-564-2464
Mailing Address - Fax:
Practice Address - Street 1:3575D MAYBANK HWY # 133
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-4823
Practice Address - Country:US
Practice Address - Phone:843-564-2464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula