Individual
LACAYAH ENGEBRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MILE 111.5 RICHARDSON HIGHWAY, COPPER CENTER, AK 99573
(907) 822-5241
(907) 822-8803
Mailing address
PO BOX H, COPPER CENTER, AK 99573
(907) 822-5241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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