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Individual

LEIF C. LIDIN-LAMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
13135 OLD GLENN HWY, # 100, EAGLE RIVER, AK 99577-7562
(907) 306-6897
Mailing address
PO BOX 770187, EAGLE RIVER, AK 99577-0187
(907) 306-6897
(907) 688-3041

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
A112
AK

Other

Enumeration date
02/26/2008
Last updated
11/14/2013
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