| NPI | 1285833103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN L LENTZ Nurse Practioner 907-376-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 0554) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2009-06-25 |