Most Relevant Information
Provider Data
| NPI Number: | 1003502014 |
| Provider Name: | CHARLA LINCOLN LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 184611 |
Most Important Dates
| Enumeration Date: | 04/12/2023 |
| Last Updated: | 04/12/2023 |
Provider Practice Location
6831 JEWEL LAKE RD
ANCHORAGE
AK
995022823
Practice Location Phone/Fax
| Phone: | 9072450807 |
| Fax: |
Provider Mailing Location
1802 CLEVELAND AVE APT 2
ANCHORAGE
AK
995172658
Provider Mailing Phone/Fax
| Phone: | 5305748609 |
| Fax: |