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Individual

LYRIC RENEE DOTOMAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4000 LAUREL ST, ANCHORAGE, AK 99508-5333
(907) 729-6300
(907) 729-6314
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-0000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AK
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/14/2019
Last updated
12/29/2021
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