Most Relevant Information
Provider Data
| NPI Number: | 1003697673 |
| Provider Name: | LYNNLEE L MITCHELL |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2023 |
| Last Updated: | 10/10/2023 |
Provider Practice Location
201 DEERMOUNT ST
KETCHIKAN
AK
999016649
Practice Location Phone/Fax
| Phone: | 9072289589 |
| Fax: |
Provider Mailing Location
201 DEERMOUNT ST
KETCHIKAN
AK
999016649
Provider Mailing Phone/Fax
| Phone: | 9072289589 |
| Fax: |