Individual
LISA STANIFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 562-5340
Mailing address
200 W 34TH AVE # 273, ANCHORAGE, AK 99503-3969
(907) 764-2229
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/20/2020
Last updated
12/19/2023
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