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NPI Verification

National Provider Identifier: 1679951438

Lisa Marie Antonio, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

3100 CHANNEL DR STE 300

JUNEAU, AK 998017837

Phone: 907-463-4074

NPI Enumeration Date

May 13, 2015

NPI Number

1679951438

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry