Healthcare Provider Details

I. General information

NPI: 1306473178
Provider Name (Legal Business Name): LAKOTAH DOIG HARDIE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAKOTAH DAWN DOIG

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4315 DIPLOMACY DR
ANCHORAGE AK
99508-5926
US

IV. Provider business mailing address

4315 DIPLOMACY DR
ANCHORAGE AK
99508-5926
US

V. Phone/Fax

Practice location:
  • Phone: 907-563-2662
  • Fax:
Mailing address:
  • Phone: 907-563-2662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number250760
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: