Organization
R LYNN CARLSON MD PC MEDICENTER
Active
Other names
MediCenter
Organization subpart
No
Provider details
NPI number
Authorized official
R LYNN CARLSON MD (MANAGING PHYSICIAN)
(907) 283-9118
Entity
Organization
Contact information
Practice address
10543 KENAI SPUR HWY, KENAI, AK 99611-7812
(907) 283-9118
(907) 283-5341
Mailing address
10543 KENAI SPUR HWY, KENAI, AK 99611-7812
(907) 283-9118
(907) 283-5341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MPG0152
—
AK
Enumeration date
01/22/2009
Last updated
02/14/2014
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