Dr. Leandra Ann Fraser, MD
Clinic/Center, Student Health in Los Angeles, CA. Individual provider (NPI-1).
NPI number1669995346
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1669995346
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leandra Ann Fraser
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2017
- Certification date
- Nov 18, 2021
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | – | CA | Yes |
Practice location
1200 N. State St.Ipt C3f107
Los Angeles, CA 90033-1029
Phone 323-409-8848 · Fax 323-441-7219
Mailing address
1200 N. State St.Ipt C3f107
Los Angeles, CA 90033-1029
Phone 323-409-8848
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