Provider Demographics
NPI:1871343574
Name:WILCINSKI, ALISON (LAC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:WILCINSKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10546 IRVING CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2239
Mailing Address - Country:US
Mailing Address - Phone:720-217-3622
Mailing Address - Fax:
Practice Address - Street 1:1741 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-4176
Practice Address - Country:US
Practice Address - Phone:907-456-4521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK221536171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist