Fraser, Richard Lee

Fraser, Richard Lee is an sole proprietor health care provider with primary practice located at 4190 Loberg Ave , Duluth MN 55811-2652. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fraser, Richard Lee can be contacted via phone (218) 249-5700.

Contact Information

Primary practice address
4190 Loberg Ave Duluth MN 55811-2652
Phone: (218) 249-5700
Fax: (218) 249-4666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 851-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6433 Minnesota

Profile Details

NPI number 1891748000
LBN Legal business name Fraser, Richard Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Jan 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891748000 NPPES
Wisconsin MEDICAID 43857200

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