Lisa Cooney, Md-Pc

LBN: Lisa Cooney, Md-Pc
Lisa Cooney, Md-Pc is an health care organization with primary practice located at 1751 Gardner Way Suite E, Wasilla AK 99654-6513. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lisa Cooney, Md-Pc can be contacted via phone (907) 376-1633, or through Cooney, Lisa Marie via phone (907) 376-1633.

Contact Information

Primary practice address
1751 Gardner Way Suite E Wasilla AK 99654-6513
Phone: (907) 376-1633
Fax: (907) 376-7864
Website:
Map and Directions
Authorized official contact:
Name: Cooney, Lisa Marie Doctor of Medicine (MD)
Phone: (907) 376-1633

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3925 Alaska

Profile Details

NPI number 1912932716
LBN Legal business name Lisa Cooney, Md-Pc
DBA Doing business as
Authorized official Cooney, Lisa Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912932716 NPPES
Alaska MEDICAID MD3925
Alaska Other P0157517

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