Individual
LEMARA SUE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 455-1416
(907) 455-1460
Mailing address
3676 ARAPAHO DR, NORTH POLE, AK 99705-7470
(907) 488-7998
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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