institution
Lisa Cooney, Md-pc
Specialist in Wasilla, Alaska
NPI 1912932716

Lisa Cooney, Md-pc is a Specialist based in Wasilla, AK. Lisa Cooney, Md-pc practices in Wasilla, AK. The NPI Number for Lisa Cooney, Md-pc is 1912932716 and holds a License No. 3925 (Alaska).

The current practice location address for Lisa Cooney, Md-pc is 1751 Gardner Way, Wasilla, AK and can be reached out via phone at 907-376-1633 and via fax at 907-376-7864.

Location: 1751 Gardner Way, Wasilla, AK, 99654
institution
Provider Profile Details
NPI Number
1912932716
Provider Name
Lisa Cooney, Md-pc
Credential
Provider Entity Type
Organization
Address
1751 Gardner Way, Wasilla, AK, 99654
Phone Number
907-376-1633
Fax Number
907-376-7864
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD3925 05 AK
P0157517 01 RRMEDICARE
institution
Provider Business Practice Location Address Details
Address
1751 Gardner Way
City
State
Zip
99654-6513
Phone Number
907-376-1633
Fax Number
907-376-7864
person
Provider Business Mailing Address Details
Address
1751 Gardner Way
City
State
Zip
99654-6513
Phone Number
907-376-1633
Fax Number
907-376-7864
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
3925 (Alaska)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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