Individual
LAUREN LEARNED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16125 E. VIRGINIA ST., PALMER, AK 99645
(907) 529-7687
Mailing address
PO BOX 877251, WASILLA, AK 99687-7251
(907) 529-7687
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
583
AK
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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