Lakes Medical Clinic

NPI 1225237563 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1225237563
Enumeration Date 07/17/2007
Last Updated 07/17/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES D CHARLES
Position M.D.
Phone (907) 357-0820
Fax (907) 357-0821
Practice Location
5050 DUNBAR STREET
SUITE D
WASILLA AK, 99654, US
Phone (907) 357-0820
Fax (907) 357-0821
Business Location
PO BOX 876009
WASILLA AK, 99687-6009, US
Phone (907) 357-0820
Fax (907) 357-0821
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
Remove 1225237563 NPI Number
 

According to our database, Lakes Medical Clinic NPI is 1225237563, taxonomy code is 302R00000X Lakes Medical Clinic physically located at 5050 Dunbar Street, Wasilla AK, 99654. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1225237563 NPI number is provided on an as is basis without warranty of any kind. 1225237563 is maintained by the National Plan & Provider Enumeration System. The contents of Lakes Medical Clinic are for informational purposes only.