Lisa Thomas
NPI #1629509468 in Eagle River, Alaska
Provider Information
- NPI Number
- 1629509468
- Entity Type
- Individual
- Name
- Lisa Thomas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 23, 2017
- Last Updated
- Mar 23, 2017
Practice Location
- Address
- 11462 BUSINESS BLVD
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577-7721
- Phone
- (907) 315-5482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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