Individual
LUPE LAVAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 LAUREL ST, ANCHORAGE, AK 99508-5333
(907) 729-6300
Mailing address
1308 KARLUK ST APT 4, ANCHORAGE, AK 99501
(907) 978-6790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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