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Individual

LORI D CONKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5998
(907) 458-3000
(907) 458-5694
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
(907) 458-3000
(907) 458-5694

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
179267
AK
207L00000X
Anesthesiology Physician
L1007
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1723344
AK
Enumeration date
01/12/2006
Last updated
03/13/2026
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