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Individual

LUCINDA L EDLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A.

Contact information

Practice address
2801 DEBARR RD, ANCHORAGE, AK 99508-2932
(907) 258-2149
(907) 258-2147
Mailing address
PO BOX 202149, ANCHORAGE, AK 99520-2149
(907) 258-2149
(907) 258-2147

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
18397
AK
367500000X
Certified Registered Nurse Anesthetist
Primary
185
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
430047713
MEDICARE RAILROAD
AK
05
RNA0014
AK
Enumeration date
10/27/2005
Last updated
08/05/2009
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