Dr. LARA DIANE CHURCH MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1043280449- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1001 S KNIK GOOSE BAY RD, WASILLA, AK, 996548083
- Phone
- (907) 631-7800
Specialties & Taxonomies
Family Medicine
License: FL #ME105548
Family Medicine
Primary License: AK #204658
All Addresses
MAILING
7033 E TUDOR RD
ANCHORAGE, AK, 995071262