Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 4274 | TN |
NPI | 1073951026 |
---|---|
Provider Name | Lauren Elizabeth Frye |
First Address | Nashville, TN 37203-1515 |
Second Address | Nashville, TN 37203-1515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 28/06/2021 |