NPI 1245102417
Leilani Carol Disselkoen
Practice location
- Address
- 7010 E Bogard Rd, Wasilla, AK 99654-4711
- Phone
- (907) 373-4732
- Mailing address
- 17641 Beaujolais Dr, Eagle River, AK 99577-7515
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1245102417
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Sep 2025
- Record last updated
- 18 Sep 2025
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.