| Doctor Name: | MS. LAURIE ANN FRY |
| NPI Number: | 1043511470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 4704184698 |
| Business Practice Address: | 8765 Lewis Ave Temperance, MI - 481829583 |
| Business Phone Number: | 7348473802 |
| Business Fax Number: | 7348473418 |
| Mailing Address: | 225 Riverside Ave, ADRIAN |
| State: | MI |
| Postal Code: | 492211539 |
| Phone Number: | 5172631800 |
| Fax Number: | 5172631866 |
| NPI Enumeration Date: | 11/17/2010 |
| NPI Last Update Date: | 12/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704184698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |