Lifetothefullestllc

Specialty details in registry · Fairbanks, AK

Call (907) 317-1093 Directions

At a glance

1233 5Th Ave, Fairbanks, AK 99701-4211

NPPES record updated Dec 12, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1233 5Th Ave
Fairbanks, AK 99701-4211

Professional details: NPI, taxonomy & registry record

NPI1245774108

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 3104A0625X
Enumeration date: Dec 12, 2016
Record updated: Dec 12, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

3104A0625X · Primary

License reported: 101139 AK

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1233 5Th Ave
Fairbanks, AK 99701-4211

Phone: (907) 317-1093

Mailing address

1233 5TH AVE

FAIRBANKS, AK 997014211

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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