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Search › Alaska › 172V00000X

Alonzo Leisholmn, CHA-IV

NPI 1225303878 · on the registry since 2012

Practice

Address
563 Brendible St
Metlakatla, AK 99926
Phone
(907) 886-4741
Fax
(907) 886-5831
Organisation at this address
Metlakatla Indian Community
Metlakatla Indian Community
Metlakatla Indian Community
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska