Individual
LISA VELING DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5955 ZEAMER AVE, ANCHORAGE, AK 99506-3702
(907) 580-2506
Mailing address
5955 ZEAMER AVE, ANCHORAGE, AK 99506-3702
(907) 580-2506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101274612
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101274612
STATE MEDICAL LICENSE
VA
Enumeration date
01/16/2020
Last updated
07/19/2023
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