Individual
LYDIA QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 E 13TH AVE, ANCHORAGE, AK 99501-4739
(907) 229-2857
Mailing address
1142 E 13TH AVE, ANCHORAGE, AK 99501-4739
(907) 229-2857
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
100521
AK
347C00000X
Private Vehicle
Primary
100521
AK
374U00000X
Home Health Aide
100521
AK
385H00000X
Respite Care
100521
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216826
GENERAL RELIEF
AK
05
—
HC1142
—
AK
05
—
RL1142
—
AK
Enumeration date
02/14/2007
Last updated
09/11/2025
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