| NPI | 1316148273 |
|---|---|
| Former Name | LORI LAVON FRASER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: WI 51016) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2021-11-23 |