Provider Demographics
NPI:1609684158
Name:FRYMAN, LILLIAN KATHLEEN
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:KATHLEEN
Last Name:FRYMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45123-1616
Mailing Address - Country:US
Mailing Address - Phone:937-768-6086
Mailing Address - Fax:
Practice Address - Street 1:802 S 4TH ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:OH
Practice Address - Zip Code:45123-1616
Practice Address - Country:US
Practice Address - Phone:937-768-6086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide