| Alaska Family Care Associates, Llc | |
|
4001 Dale Street Suite 210 Anchorage AK 99508-5445 | |
| (907) 929-5888 | |
| (907) 929-5882 |
| Full Name | Alaska Family Care Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4001 Dale Street, Anchorage, Alaska |
| Authorized Official Name and Position | Loretta Leih-sheng Lee (OWNER/MEMBER) |
| Authorized Official Contact | 9079295888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Family Care Associates, Llc 4001 Dale Street Suite 210 Anchorage AK 99508-5445 Ph: (907) 929-5888 | Alaska Family Care Associates, Llc 4001 Dale Street Suite 210 Anchorage AK 99508-5445 Ph: (907) 929-5888 |
| NPI Number | 1013025600 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/30/2012 |
| Medicare PECOS PAC ID | 6406745991 |
|---|---|
| Medicare Enrollment ID | O20040312000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013025600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Loretta L Lee |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1013973460 PECOS PAC ID: 0840200515 Enrollment ID: I20060425000595 |
| Provider Name | Kathleen E Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326010232 PECOS PAC ID: 7012004013 Enrollment ID: I20071107000157 |
| Provider Name | Ulyana P Stiassny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780782243 PECOS PAC ID: 1254491277 Enrollment ID: I20081120000856 |
| Provider Name | Lillian A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790163012 PECOS PAC ID: 8123331279 Enrollment ID: I20190614001151 |
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