person
Lane Elise Fraser, DO
General Practice Physician in Tacoma, Washington
NPI 1912540469

Lane Elise Fraser is a General Practice Physician based in Tacoma, WA. Lane Elise Fraser practices in Tacoma, WA and has the professional credentials of DO. The NPI Number for Lane Elise Fraser is 1912540469 and holds a License No. 2499 (Washington).

The current practice location address for Lane Elise Fraser is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-3774.

Location: 9040 Jackson Ave, Tacoma, WA, 98431-0001
person
Provider Profile Details
NPI Number
1912540469
Provider Name
Lane Elise Fraser
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
9040 Jackson Ave, Tacoma, WA, 98431-0001
Phone Number
253-968-3774
Fax Number
Provider Enumeration Date
10/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-3774
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-3774
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
2499 (Nebraska)
Definition
Definition to come...
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