Individual
LAURIE NORENE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 LAWLOR RD, FAIRBANKS, AK 99709-6458
(907) 455-4725
(907) 455-4730
Mailing address
PO BOX 81754, FAIRBANKS, AK 99708-1754
(907) 455-4725
(907) 455-4730
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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