Lawrence Jedlicka in Anchorage - Addiction Medicine
Lawrence Jedlicka - NPI 1508958521
Lawrence Jedlicka is a Addiction Medicine in Anchorage, Alaska. Lawrence Jedlicka practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Lawrence Jedlicka is 1508958521. The last update date is 2018-03-22.
Lawrence Jedlicka's current location address is 4001 Laurel St, Anchorage, Alaska. You can contact this provider via phone number 9076771012 and fax number 9075656001. The mailing address for Lawrence Jedlicka is 4001 Laurel St, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Jedlicka |
|---|---|
| Address | 4001 Laurel St, Anchorage, Alaska |
| Phone Number | 9076771012 |
| Fax Number | 9075656001 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508958521 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2018-03-22 |
Provider Mailing Address Detail
| Address | 4001 Laurel St |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995085300 |
| Phone Number | 9076771012 |
| Fax Number | 9075656001 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 69361 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Post Comment/ Review Below
What is the Lawrence Jedlicka's unique identification number?
The Lawrence Jedlicka has been assigned the NPI (National Provider Identifier) Number 1508958521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Lawrence Jedlicka is physically located?
The Lawrence Jedlicka is physically situated at the following address: 4001 Laurel St, Anchorage, AK, 995085300.
What is Lawrence Jedlicka's area of expertise and its corresponding taxonomy classification?
The Lawrence Jedlicka's field of specialization is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1508958521 to Lawrence Jedlicka?
The Centers for Medicare & Medicaid Services assigned the 1508958521 to Lawrence Jedlicka on 2006-09-28.
As of what date were the details pertaining to Lawrence Jedlicka last refreshed?
The information related to the Lawrence Jedlicka, including its address, specialty, and other relevant details, was last updated on 2018-03-22.