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Organization
WILD IRIS LLC
Active
Organization
WILD IRIS LLC
Active
Other names
Wild Iris Family Medicine and Maternity Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA HARRISON M.D. (OWNER/PHYSICIAN)
(907) 373-9453
Entity
Organization
Contact information
Practice address
851 E WESTPOINT DR STE 207, WASILLA, AK 99654-7183
(907) 373-9453
Mailing address
851 E WESTPOINT DR STE 207, WASILLA, AK 99654-7183
(907) 373-9453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5448
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012605
—
AK
Enumeration date
10/25/2013
Last updated
06/12/2026
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