Individual
LORRY JEAN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2735 E TUDOR RD, ANCHORAGE, AK 99507-1135
(907) 562-7900
Mailing address
16428 BROOKS LOOP, EAGLE RIVER, AK 99577-8027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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