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LISA CARMEL FEYEREISEN

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1710448915

Individual Registrant:
 LISA CARMEL FEYEREISEN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
269 MORGANS RD  ANIAK, AK 99557 US
Tel: 907-675-4556  Fax: --

Contact information for business:
PO BOX 528  BETHEL, AK 99559-0528 US
Tel: 907-545-6100  Fax: --

Registration Information:
NPI: 1710448915
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1020986AK05




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