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Individual

LAINA CANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
3260 PROVIDENCE DR, STE 528, ANCHORAGE, AK 99508-4661
(907) 770-7213
(907) 770-7214
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
(907) 563-1777
(907) 561-7464

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
174
AK

Other

Enumeration date
04/10/2014
Last updated
12/01/2016
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