Organization
ALPENGLOW ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDE A LUCAS L.AC. (OWNER)
(907) 336-6692
Entity
Organization
Contact information
Practice address
3343 FAIRBANKS ST, ANCHORAGE, AK 99503-4145
(907) 336-6692
(907) 336-6690
Mailing address
3343 FAIRBANKS ST, ANCHORAGE, AK 99503-4145
(907) 336-6692
(907) 336-6690
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
226994
AK
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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