Individual provider · NPI-1

Lorenzo L. Ailey

Technician, Attendant Care Provider · Anchorage, AK

NPI number1619241569
StatusActive
Last updated in NPPESFeb 23, 2012

Details

NPI
1619241569
Entity type
Individual (NPI-1)
Name
Lorenzo L. Ailey
Sex
Male
Sole proprietor
No
Enumeration date
Feb 23, 2012
Last updated
Feb 23, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

1058 W 27th Ave
Anchorage, AK 99503-2424

Phone 907-274-7391

Mailing address

1058 W 27th Ave
Anchorage, AK 99503-2424

Phone 907-274-7391

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