NPI 1912932716

Lisa Cooney, Md-Pc

Organisation Specialist Wasilla, AK

Practice location

Address: 1751 Gardner Way Suite E, Wasilla, AK 99654-6513
Phone: (907) 376-1633
Fax: (907) 376-7864
Mailing address: 1751 E. Gardner Way Suite E, Wasilla, AK 99654

Authorised official

Name: Lisa Marie Cooney
Title: Owner/Physician
Phone: (907) 376-1633

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 3925 (AK)

Other Specialist providers in Alaska →

Registry record

NPI: 1912932716
Entity type: Organization
NPI issued: 11 Jul 2006
Record last updated: 22 Aug 2020

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.