Individual
LORNA DARLENE RUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
240 E TUDOR RD STE 110, ANCHORAGE, AK 99503-7244
(907) 743-3040
Mailing address
240 E TUDOR RD, ANCHORAGE, AK 99503-7244
(907) 743-3040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101843
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920166990
BLUE CROSS
AK
Enumeration date
04/09/2018
Last updated
04/09/2018
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