Individual
MATTHEW JAMES LAFRENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 JULIE ANNA DR, KENAI, AK 99611-6652
(907) 513-1019
Mailing address
5100 BEAVER LOOP RD APT 3, KENAI, AK 99611-8395
(907) 513-1019
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
04/14/2021
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