Provider Demographics
NPI:1477949063
Name:FRYE, LINDSAY (DO)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:FRYE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43658 CA-299
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER MILLS
Mailing Address - State:CA
Mailing Address - Zip Code:96028
Mailing Address - Country:US
Mailing Address - Phone:530-999-9020
Mailing Address - Fax:530-362-4068
Practice Address - Street 1:43658 CA-299
Practice Address - Street 2:
Practice Address - City:FALL RIVER MILLS
Practice Address - State:CA
Practice Address - Zip Code:96028
Practice Address - Country:US
Practice Address - Phone:530-999-9020
Practice Address - Fax:530-362-4068
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60854470207R00000X, 207RC0000X
ORPG172207207RC0000X
CA22864207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine