Lisa Cooney, Md-Pc

NPI #1912932716 in Wasilla, Alaska

Provider Information

NPI Number: 1912932716
Entity Type: Organization
Organization Name: Lisa Cooney, Md-Pc
Primary Specialty: Specialist
Enumeration Date: Jul 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1751 GARDNER WAY
Address 2: SUITE E
City: Wasilla
State: Alaska
ZIP Code: 99654-6513
Phone: (907) 376-1633

Authorized Official

Name: LISA MARIE COONEY, M.D.
Title: OWNER/PHYSICIAN
Phone: (907) 376-1633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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