| Lake Otis Medical Clinic | |
|
4001 Lake Otis Pkwy #100 Anchorage AK 99508-5211 | |
| (907) 561-7757 | |
| Not Available |
| Full Name | Lake Otis Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4001 Lake Otis Pkwy, Anchorage, Alaska |
| Authorized Official Name and Position | Deborah L Maclean (OFFICE MGR) |
| Authorized Official Contact | 9073417757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Otis Medical Clinic 300 E Dimond Blvd #12 Anchorage AK 99515-1908 Ph: (907) 341-7757 | Lake Otis Medical Clinic 4001 Lake Otis Pkwy #100 Anchorage AK 99508-5211 Ph: (907) 561-7757 |
| NPI Number | 1851573331 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851573331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 905735 (Alaska) | Primary |
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