Individual
LINDA LAVANWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
711 H ST, SUITE 100, ANCHORAGE, AK 99501-3446
(907) 770-0862
Mailing address
711 H STREET, SUITE 100, ANCHORAGE, AK 99501
(907) 770-0862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11599
AK
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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