Individual
LAWANA S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 CANARY CT, ANCHORAGE, AK 99515-1402
(907) 250-0708
Mailing address
2301 CANARY CT, ANCHORAGE, AK 99515-1402
(907) 250-0708
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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