NPI 1790093417

Erica Lorraine Keen, AA

Practitioner Phlebotomy Technician Fairbanks, AK

Practice location

Address: 3830 S Cushman St, Fairbanks, AK 99701-7530
Phone: (907) 452-1575
Fax: (907) 455-1460
Mailing address: 545 Wild Horse Ln, Fairbanks, AK 99709-6700

Registered specialties (2)

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence 36334 (AK)

Other Technician, Pathology providers in Alaska →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Alaska →

Registry record

NPI: 1790093417
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2010
Record last updated: 15 Sep 2010

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.