# ALASKA FAMILY DOCTOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710123161
- **Authorized official:** DR. ROBERT THOMAS LAWRENCE M.D. (OWNER)
- **Authorized official phone:** (907) 304-3301

## Contact information

- **Practice address:** 504 E. L STREET, NOME, AK 99762
- **Practice address phone:** (907) 304-3301
- **Practice address fax:** (888) 650-7869
- **Mailing address:** PO BOX 1573, NOME, AK 99762-1573
- **Mailing address phone:** (907) 304-3301
- **Mailing address fax:** (888) 650-7869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 915051 | AK | Yes |

## Other

- **Enumeration date:** 01/06/2009
- **Last updated:** 01/06/2009