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Organization
ALASKAN LEGACY PODIATRIC FOOT & ANKLE SPECIALIST LLC
Active
Organization
ALASKAN LEGACY PODIATRIC FOOT & ANKLE SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA LEAR-RAYBORN D.P.M. (PHYSICIAN)
(907) 644-0442
Entity
Organization
Contact information
Practice address
4001 LAUREL ST, SUITE 209, ANCHORAGE, AK 99508-5300
(907) 644-0442
Mailing address
4001 LAUREL ST, SUITE 209, ANCHORAGE, AK 99508-5300
(907) 644-0442
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
7766
AK
Other
Enumeration date
07/16/2014
Last updated
11/13/2014
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