Individual
MS. MEGAN L LACROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
44539 STERLING HWY, STE.206, SOLDOTNA, AK 99669-7938
(907) 262-7504
(907) 262-9422
Mailing address
PO BOX 331, SOLDOTNA, AK 99669-0331
(907) 262-7504
(907) 262-9422
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CMG632
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG632
—
AK
Enumeration date
10/20/2011
Last updated
10/20/2011
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