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NPI Code Detail

MEDICARE: MS. LENA ALLIE ANDREW

MEDICARE: MS. LENA ALLIE ANDREW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerAK

General Provider Information

NPI Number : 1003779034
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LENA ALLIE ANDREW
Provider Business Mailing Address
First Line : PO BOX 988
Second Line :
City : KENAI
State : AK
Zip : 99611-0988
Country : US
Telephone Number : 907-335-7500
Fax Number :
Provider Business Practice Location Address
First Line : 508 UPLAND ST
Second Line :
City : KENAI
State : AK
Zip : 99611-8026
Country : US
Telephone Number : 907-335-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ MS. LENA ALLIE ANDREW ” Practice Location

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