Lawrence Jeffrey Frazin, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

18499 Issued in WI

Practice address

3201 S 16TH St
Suite 2025
Milwaukee, WI 53215-4534

Phone

(414) 645-8977

Fax

(414) 645-8988

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurological Surgery SC

  • Neurological Surgery Physician
  • Milwaukee, WI
  • NPI 1235232810
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821190232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S 16TH ST",
            "address_2": "SUITE 2025",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154534",
            "telephone_number": "414-645-8977",
            "fax_number": "414-645-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S 16TH ST",
            "address_2": "SUITE 2025",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154534",
            "telephone_number": "414-645-8977",
            "fax_number": "414-645-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIN",
        "first_name": "LAWRENCE",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "18499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30185800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Fraundorf, MSN, BC-WHNP
• Shea Frawley
• Sarah Frazier, MA
• Tedricka Kearra Frazier
• Tiffany Frazier, PA-C
• Vanessa Freberg
• Kerry B Frederick, SLP
• Abby Nicole Frederickson, DO
• Marilynn E Frederiksen, M.D.
• Kaitlyn G Fredrich, PA-C

• Neurological Surgery Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Neurological Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.