Individual
SHANDA RENEE LOHSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3380 C ST, ANCHORAGE, AK 99503-3949
(907) 717-4550
Mailing address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5512
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD5039
—
AK
Enumeration date
08/22/2006
Last updated
09/01/2023
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