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Organization

LACUNA FAMILY MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERALD P. FLYNN JR. MD (PRESIDENT)
(907) 491-0645
Entity
Organization

Contact information

Practice address
204 4TH AVE, SEWARD, AK 99664
(907) 491-0645
Mailing address
PO BOX 2816, SEWARD, AK 99664-2816
(907) 491-0645

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1038449
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD9543
AK
Enumeration date
08/28/2016
Last updated
08/29/2016
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