Provider First Line Business Practice Location Address:
9525 KING ST.
Provider Second Line Business Practice Location Address:
MEDICAL DEPARTMENT - LIPINSKI
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99515-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-244-5272
Provider Business Practice Location Address Fax Number:
888-344-8117
Provider Enumeration Date:
08/19/2006