Individual
MRS. LISA J.C. RAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4048 LAUREL ST STE 303, ANCHORAGE, AK 99508-5391
(907) 562-4550
Mailing address
11015 STEEPLE DR, EAGLE RIVER, AK 99577-7122
(907) 770-1990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
132
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP7911
—
AK
Enumeration date
03/23/2007
Last updated
07/08/2007
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