Individual
DR. LISA L HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
851 E WESTPOINT DR, SUITE 310, WASILLA, AK 99654-7191
(907) 373-9453
(907) 373-9457
Mailing address
851 E WESTPOINT DR, SUITE 310, WASILLA, AK 99654-7191
(907) 373-9453
(907) 373-9457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5448
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD3146
—
AK
Enumeration date
08/01/2006
Last updated
02/27/2014
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