Lacayah Engebretson

Individual provider Active NPI Case Manager/Care Coordinator · Copper Center, AK

NPI 1831867282 · NPPES record last updated Sep 1, 2021

Key facts

NPI
1831867282
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
Mile 111.5 Richardson Highway
Copper Center, AK 99573
Phone
(907) 822-5241
Fax
(907) 822-8803
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

Mile 111.5 Richardson Highway
Copper Center, AK 99573

Mailing address

PO Box H
Copper Center, AK 99573
Phone (907) 822-5241

Other providers in Copper Center, AK

All providers in Copper Center, AK · Case Manager/Care Coordinator in Alaska

Sources for this page

Verify at the official NPI Registry.