Lisa A Basson

NPI #1104629302 in Wasilla, Alaska

Provider Information

NPI Number: 1104629302
Entity Type: Individual
Name: Lisa A Basson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 31, 2025
Last Updated: Mar 31, 2025

Practice Location

Address: 2650 E BROADVIEW AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-8302
Phone: (907) 313-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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