Individual
LISA GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 H ST, # 100, ANCHORAGE, AK 99501-3446
(907) 770-0862
Mailing address
711 H ST, # 100, ANCHORAGE, AK 99501-3446
(907) 770-0862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
30790
AK
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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