Individual
LAURA LEE GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDM
Contact information
Practice address
3730 RHONE CIR, SUITE 103, ANCHORAGE, AK 99508-5051
(907) 561-5152
(907) 562-2585
Mailing address
PO BOX 112051, ANCHORAGE, AK 99511-2051
(907) 770-0377
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0026
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM0026
—
AK
Enumeration date
01/30/2007
Last updated
07/09/2007
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