Provider Demographics
NPI:1174956916
Name:FRAZIERHERRON, CHERIE N (IBCLC RLC)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:N
Last Name:FRAZIERHERRON
Suffix:
Gender:F
Credentials:IBCLC RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W HILL ST
Mailing Address - Street 2:
Mailing Address - City:NEOSHO
Mailing Address - State:MO
Mailing Address - Zip Code:64850-1641
Mailing Address - Country:US
Mailing Address - Phone:417-389-2775
Mailing Address - Fax:
Practice Address - Street 1:1000 W HILL ST
Practice Address - Street 2:
Practice Address - City:NEOSHO
Practice Address - State:MO
Practice Address - Zip Code:64850-1641
Practice Address - Country:US
Practice Address - Phone:417-389-2775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN