Individual
LOURDETTE DIAMOND NEUBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13700B E JENSEN AVE, PALMER, AK 99645-9431
(907) 746-2037
(907) 746-2031
Mailing address
13700B E JENSEN AVE, PALMER, AK 99645-9431
(907) 746-2037
(907) 746-2031
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM1475
—
AK
05
—
CMG242
—
AK
Enumeration date
01/09/2007
Last updated
01/04/2008
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