| Lisa A Fraleigh, DO | |
|
112 E 100 N, Suite A, Logan, UT 84321-4638 | |
| (435) 213-3797 | |
| (435) 213-9581 |
| Full Name | Lisa A Fraleigh |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 112 E 100 N, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558478115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 7825498-8904 (Utah) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 7825498-8904 (Utah) | Secondary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Canvi Behavioral Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144984873 PECOS PAC ID: 0941692073 Enrollment ID: O20220614002943 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Fraleigh, DO 112 E 100 N Ste A, Logan, UT 84321-4602 Ph: (435) 213-3797 | Lisa A Fraleigh, DO 112 E 100 N, Suite A, Logan, UT 84321-4638 Ph: (435) 213-3797 |
Dr. Wesley Hill, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6405 Old Main Hill, Logan, UT 84322 Phone: 435-797-0576 Fax: 844-308-5865 | |
Samuel Weber, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-5790 | |
Michael H Williams, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1980 | |
Dr. Eric Max Barker, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1350 N 500 E Dept Of, Logan, UT 84341 Phone: 435-716-1280 | |
Dr. Lisa Ann Robinson, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1042 S 830 W, Logan, UT 84321 Phone: 435-571-1837 | |
Dr. Brett Wallace Sharp, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1277 E 100 S, Logan, UT 84321 Phone: 757-995-5118 |