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Search › Alaska › 101YP2500X

Glen Lavarias

NPI 1912281262 · on the registry since 2011 · sole proprietor

Practice

Address
4320 Diplomacy Dr
Suite 2300
Anchorage, AK 99508
Phone
(907) 729-8825
Fax
(907) 729-6154
Organisation at this address
Southcentralfoundation
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
435

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
101YP2500X
Licence states on file
NV, MI, AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-11

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