Organization
LISA COONEY, MD-PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE COONEY M.D. (OWNER/PHYSICIAN)
(907) 376-1633
Entity
Organization
Contact information
Practice address
1751 GARDNER WAY, SUITE E, WASILLA, AK 99654-6513
(907) 376-1633
(907) 376-7864
Mailing address
1751 E. GARDNER WAY, SUITE E, WASILLA, AK 99654
(907) 376-1633
(907) 376-7864
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3925
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD3925
—
AK
01
—
P0157517
RRMEDICARE
—
Enumeration date
07/11/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up