MEDICARE: ALASKA SLEEP DISORDER CENTER LLC

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
1	2084N0400X	Neurology Physician	970663	AK
2	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	970663	AK

General Provider Information

NPI Number	:	1528334539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALASKA SLEEP DISORDER CENTER LLC

Provider Business Mailing Address
First Line	:	3841 PIPER ST
Second Line	:	SUITE T345
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4624
Country	:	US
Telephone Number	:	907-565-6000
Fax Number	:	907-565-6000

Provider Business Practice Location Address
First Line	:	3400 LATOUCHE ST
Second Line	:	SUITE 200
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4208
Country	:	US
Telephone Number	:	907-565-6000
Fax Number	:	907-565-6000

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	ELI LEHRMANN
Credential	:
Telephone Number	:	907-565-6000

Provider Enumeration Date	:	03/25/2012
Last Update Date	:	03/25/2012

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Directions to “ALASKA SLEEP DISORDER CENTER LLC ” Practice Location

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