Healthcare Provider Details

I. General information

NPI: 1073951026
Provider Name (Legal Business Name): LAUREN ELIZABETH FRYE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2013
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1272 GARRISON DR
MURFREESBORO TN
37129-2570
US

IV. Provider business mailing address

1272 GARRISON DR
MURFREESBORO TN
37129-2570
US

V. Phone/Fax

Practice location:
  • Phone: 615-867-8044
  • Fax:
Mailing address:
  • Phone: 615-867-8044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number04526
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number4274
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: