NPI 1225237563

Lakes Medical Clinic

Organisation Health Maintenance Organization Wasilla, AK

Practice location

Address: 5050 Dunbar Street Suite D, Wasilla, AK 99654
Phone: (907) 357-0820
Fax: (907) 357-0821
Mailing address: PO Box 876009, Wasilla, AK 99687-6009

Authorised official

Name: Charles D Layman
Title: M.D.
Phone: (907) 357-0820

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1225237563
Entity type: Organization
NPI issued: 17 Jul 2007
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.