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NPI Code Detail

MEDICARE: DR. LAURA R FRY MD

MEDICARE:  DR. LAURA R FRY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianNH 9619NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255328563
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA R FRY MD
Provider Business Mailing Address
First Line : 145 HOLLIS ST
Second Line :
City : MANCHESTER
State : NH
Zip : 03101-1235
Country : US
Telephone Number : 603-626-9500
Fax Number : 603-626-0899
Provider Business Practice Location Address
First Line : 145 HOLLIS ST
Second Line :
City : MANCHESTER
State : NH
Zip : 03101-1235
Country : US
Telephone Number : 603-626-9500
Fax Number : 603-626-0899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 01/10/2013

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Directions to “ DR. LAURA R FRY MD” Practice Location

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