Individual
MS. LISA MARY TOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7701 CHERRYWOOD CIR, ANCHORAGE, AK 99507-2973
(907) 677-1442
Mailing address
PO BOX 231635, ANCHORAGE, AK 99523-1635
(907) 677-1442
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM1946
—
AK
Enumeration date
04/23/2007
Last updated
07/09/2007
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