| NPI | 1013025600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA LEIH-SHENG LEE Owner/Member 907-929-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-08-30 |