Individual
DR. TIMOTHY LEMAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762
(907) 562-9229
(907) 561-4806
Mailing address
PO BOX 966, NOME, AK 99762
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
110432
AK
207Q00000X
Family Medicine Physician
Primary
140167
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1646661
—
AK
Enumeration date
05/31/2016
Last updated
09/17/2020
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