Individual
MRS. LORRAINE ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHP
Contact information
Practice address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 698-2208
(907) 698-2280
Mailing address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-4955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL9171
—
AK
Enumeration date
04/09/2007
Last updated
12/03/2019
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