NPI 1376239665

Lisa Memmel

Practitioner Other Specialist/Technologist North Pole, AK

Practice location

Address: 1096 Copper St, North Pole, AK 99705-5775
Phone: (907) 460-0143
Mailing address: PO Box 58659, Fairbanks, AK 99711-0659

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 22778 (AK)

Other Specialist/Technologist, Other providers in Alaska →

Registry record

NPI: 1376239665
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2023
Record last updated: 11 Apr 2023

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.