Organization
URGENT CARE AT LAKE LUCILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN R VAROSI (FINANCIAL OFFICER)
(907) 373-4200
Entity
Organization
Contact information
Practice address
185 E PARKS HWY, WASILLA, AK 99654-7038
(907) 373-4203
(907) 373-4201
Mailing address
185 E PARKS HWY, WASILLA, AK 99654-7038
(907) 373-4203
(907) 373-4201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3064
AK
261QU0200X
Urgent Care Clinic/Center
157496
AK
261QU0200X
Urgent Care Clinic/Center
Primary
3064
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG043
—
AK
05
—
MDG496
—
AK
Enumeration date
05/20/2006
Last updated
04/21/2026
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