Individual
LEE KEODOUANGDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2804 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99517-3300
(907) 562-0067
(907) 562-0056
Mailing address
2804 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99517-3300
(907) 562-0067
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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