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NPI Code Detail

MEDICARE: LUTERU TISEGA TALIULU

MEDICARE: LUTERU TISEGA TALIULU
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
1251B00000XCase Management Agency
2101YA0400XAddiction (Substance Use Disorder) CounselorAK

General Provider Information

NPI Number : 1831754449
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUTERU TISEGA TALIULU
Provider Business Mailing Address
First Line : 3600 SAN JERONIMO DR STE 310
Second Line : 3149 MT. VIEW DR. ANCHORAGE, ALASKA 99501
City : ANCHORAGE
State : AK
Zip : 99508-2870
Country : US
Telephone Number : 907-793-3200
Fax Number : 907-793-3250
Provider Business Practice Location Address
First Line : 3149 MOUNTAIN VIEW DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-3106
Country : US
Telephone Number : 907-793-3629
Fax Number : 907-868-8948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2019
Last Update Date : 09/17/2025

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Directions to “ LUTERU TISEGA TALIULU ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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