Lacey Fisk
Specialist in Fairbanks, AK. Individual provider (NPI-1).
NPI number1821521345
StatusActive
Last updated in NPPESApr 11, 2017
Details
- NPI
- 1821521345
- Entity type
- Individual (NPI-1)
- Name
- Lacey Fisk
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2017
- Last updated
- Apr 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 120919 | AK | Yes |
Practice location
1118 2nd AveFairbanks, AK 99701-4228
Phone 907-456-6213 · Fax 907-452-5925
Mailing address
1118 2nd AveFairbanks, AK 99701-4228
Phone 907-456-6213 · Fax 907-452-5925
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