Individual
DR. LUBOV M COVERDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11470 BUSINESS BLVD, STE 100, EAGLE RIVER, AK 99577-7721
(907) 622-4325
(907) 622-4326
Mailing address
11470 BUSINESS BLVD, STE 100, EAGLE RIVER, AK 99577-7721
(907) 622-4325
(907) 622-4326
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AK5172
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AK5172
AK STATE LICENSE
AK
05
—
MD5172
—
AK
05
—
MD51721
—
AK
Enumeration date
01/15/2007
Last updated
07/09/2007
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