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Organization

ALL SEASONS FAMILY HEALTH CARE

Active
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Organization

ALL SEASONS FAMILY HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN L LENTZ N.P. (NURSE PRACTIONER)
(907) 376-4644
Entity
Organization

Contact information

Practice address
5461 E MAYFLOWER LN, SUITE 4, WASILLA, AK 99654-7817
(907) 376-4644
Mailing address
5461 E MAYFLOWER LN, SUITE 4, WASILLA, AK 99654-7817
(907) 376-4644

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0554
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP05541
AK
05
NP05542
AK
Enumeration date
07/11/2007
Last updated
06/25/2009
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