Individual
LUANN R LAUESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 1ST AVE STE 300, TANANA CHIEFS CONFERENCE (SENIOR SERVICES), FAIRBANKS, AK 99701-4848
(907) 452-8251
(907) 459-3985
Mailing address
201 1ST AVE STE 300, TANANA CHIEFS CONFERENCE (SENIOR SERVICES), FAIRBANKS, AK 99701-4848
(907) 452-8251
(907) 459-3985
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0157
—
AK
Enumeration date
07/05/2012
Last updated
02/02/2022
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