Individual
LISA KATHLEEN THOENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3875 GEIST RD STE E381, FAIRBANKS, AK 99709-3549
(907) 458-6943
Mailing address
4848 PRINCETON DR APT B, FAIRBANKS, AK 99709-3217
(402) 658-7654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1978
AK
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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