Individual
DR. LINA JUDITH BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 PROVIDENCE DR, ANCHORAGE, AK 99508-4623
(907) 269-7152
(907) 269-7251
Mailing address
2800 PROVIDENCE DR, ANCHORAGE, AK 99508-4623
(907) 269-7152
(907) 269-7251
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2785
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD02182
—
AK
Enumeration date
07/21/2006
Last updated
07/08/2007
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