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Contact Information

LAVINA J BECERRA
1363 W SPRUCE AVE
WASILLA, AK99654-5327
 Phone: 907-376-2411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for LAVINA J BECERRA · (Female)

NPI # 1467076471
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2020
Last updated 07/08/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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