Lopez, Laurie La Verne

Lopez, Laurie La Verne is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy , Bethel AK 99559. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Lopez, Laurie La Verne can be contacted via phone (907) 543-6107.

Contact Information

Primary practice address
829 Chief Eddie Hoffman Hwy Bethel AK 99559
Phone: (907) 543-6107
Fax: (907) 543-6008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1801176961
LBN Legal business name Lopez, Laurie La Verne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2011
Last updated Aug 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801176961 NPPES
Alaska MEDICAID CMG528
Alaska MEDICAID MH0150

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