Individual
LYNN E STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E NORTHERN LIGHTS BLVD STE 211, ANCHORAGE, AK 99503-2814
(907) 333-4343
(907) 333-4383
Mailing address
401 E NORTHERN LIGHTS BLVD STE 211, ANCHORAGE, AK 99503-2814
(907) 333-4343
(907) 333-4383
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH9780
—
AK
Enumeration date
02/03/2011
Last updated
02/03/2011
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