Individual
LAILY MAHOOZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 SECOND ST, CORDOVA, AK 99574-2290
(907) 424-3622
(907) 424-3275
Mailing address
C/O ILANKA COMMUNITY HEALTH CENTER, PO BOX 2290, CORDOVA, AK 99574-2290
(907) 424-3622
(907) 424-3275
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
002468
NY
Other
Enumeration date
11/15/2005
Last updated
03/18/2024
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