NPI 1023696069
Lori Ann Petal
Practice location
- Address
- 1363 W Spruce Ave, Wasilla, AK 99654-5327
- Phone
- (907) 376-2411
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1023696069
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Mar 2021
- Record last updated
- 31 Mar 2021
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.