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Individual

MRS. LISA K. GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1060 GAFFNEY RD, FT WAINWRIGHT, AK 99703-5001
(907) 353-5418
Mailing address
2418 MUKLUK LOOP APT C, EIELSON AFB, AK 99702-3172
(907) 372-4289

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
17408
CA

Other

Enumeration date
04/03/2007
Last updated
07/08/2007
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