Lavern Davidhizar
LBN: Family Medical Clinic
Lavern Davidhizar is an health care organization with primary practice located at 206 W Rockwell Ave Suite 100, Soldotna AK 99669-7411. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Family Medical Clinic can be contacted via phone (907) 262-7566, or through Davidhizar, Lavern R via phone (907) 262-7566.
Contact Information
Primary practice address
206 W Rockwell Ave Suite 100
Soldotna AK 99669-7411
Phone: (907) 262-7566
Fax: (907) 262-0809
Website:
Authorized official contact:
Name: Davidhizar, Lavern R Doctor of Osteopathy (DO)
Phone: (907) 262-7566
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4221 | Alaska |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 4221 | Alaska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1454 | Alaska |
Profile Details
| NPI number | 1073701421 |
|---|---|
| LBN Legal business name | Family Medical Clinic |
| DBA Doing business as | Lavern Davidhizar |
| Authorized official | Davidhizar, Lavern R Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2007 |
| Last updated | Oct 29th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073701421 | NPPES |
| Alaska | MEDICAID | MD1454 |
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