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Lottie Tickett

NPI 1528335007 · on the registry since 2011

Practice

Address
80 Back Street
Shungnak, AK 99773
Phone
(907) 437-2138
Fax
(907) 437-2139
Organisation at this address
Maniilaq Association
Maniilaq Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-11-28

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