Lawrence Jedlicka
Neurologist Internist - Addiction Medicine
4001 Laurel St
Anchorage
, Alaska 99508-5300
Lawrence Jedlicka
Neurologist Internist - Addiction Medicine
4001 Laurel St
Anchorage
, Alaska 99508-5300
(907) 565-6001
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About
Features
Specialties
- Internist - Addiction Medicine
- Neurologist
Languages spoken
- English
Location
First Address
- Lawrence Jedlicka
- 4001 Laurel St
- Anchorage, AK
- Zip : 99508-5300
- Fax : (907) 565-6001
- Phone : (907) 677-1012
Second Address
- Lawrence Jedlicka
- 4001 Laurel St
- Anchorage, AK
- Zip : 99508-5300
- Fax : (907) 565-6001
- Phone : (907) 677-1012
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RA0401X | Internist - Addiction Medicine | 069361 | GA |
| N | 2084N0400X | Neurologist | 22378 | MS |
| Y | 2084N0400X | Neurologist | 43103 | KY |
National Provider Identifier
| NPI | 1508958521 |
|---|---|
| Provider Name | Lawrence Jedlicka |
| First Address | Anchorage, AK 99508-5300 |
| Second Address | Anchorage, AK 99508-5300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 22/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E54873 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.