ALASKAN LEGACY PODIATRIC FOOT & ANKLE SPECIALIST LLC NPI 1861809311

NPI Information

NPI: 1861809311
Provider Name: ALASKAN LEGACY PODIATRIC FOOT & ANKLE SPECIALIST LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4001 LAUREL ST
SUITE 209
ANCHORAGE, AK
ZIP 99508
Phone: (907) 644-0442
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ALASKAN LEGACY PODIATRIC FOOT & ANKLE SPECIALIST LLC is a foot and ankle surgery podiatrist in Anchorage, AK. ALASKAN LEGACY PODIATRIC FOOT & ANKLE SPECIALIST LLC NPI is 1861809311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4001 LAUREL ST
SUITE 209
ANCHORAGE, AK
ZIP 99508-300
Phone: (907) 644-0442

The provider's authorized official is Elisa Lear-rayborn .
The authorized official title is Physician and has the following contact phone number (907) 644-0442.

The enumeration date for this NPI number is 7/16/2014 and was last updated on 11/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	7766	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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