LAWRENCE JEDLICKA


Address: 4001 Laurel St, Anchorage, AK 99508-5300
Phone: 9076771012

LAWRENCE JEDLICKA (NPI# 1508958521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508958521
Entity Type Individual
Full Name LAWRENCE JEDLICKA
Credential MD
Practice Address 4001 Laurel St
Anchorage
AK 99508-5300
Practice Telephone 9076771012
Practice Fax Number 9075656001
Mailing Telephone 9076771012
Mailing Fax Number 9075656001
Enumeration Date 2006-09-28
Last Update Date 2018-03-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RA0401X Internal Medicine
Specialization: Addiction Medicine
069361 GA Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
22378 MS Allopathic & Osteopathic Physicians
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
43103 KY Allopathic & Osteopathic Physicians

Office Location

Street Address 4001 LAUREL ST
City ANCHORAGE
State AK
Zip Code 99508-5300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487643169 Jann Lee Urban Anesthesiology 4001 Laurel St, Suite 202, Anchorage, AK 99508-5300 2005-10-17
1922495407 Denali Asthma and Pulmonary, LLC Internal Medicine 4001 Laurel St, Suite 206, Anchorage, AK 99508-5300 2015-04-22
1144612714 Anchorage Surgicenter, LLC Clinic/Center 4001 Laurel St, Suite A, Anchorage, AK 99508-5300 2015-02-19
1861809311 Alaskan Legacy Podiatric Foot & Ankle Specialist LLC Podiatrist 4001 Laurel St, Suite 209, Anchorage, AK 99508-5300 2014-07-16
1437407277 Alyeska Vascular Surgery LLC Surgery 4001 Laurel St, Ste 204, Anchorage, AK 99508 2012-08-28
1265795983 Urban Anesthesiology, P.c Anesthesiology 4001 Laurel St, Suite 202, Anchorage, AK 99508-5300 2012-06-18
1255604948 New Frontier Anesthesia, LLC Anesthesiology 4001 Laurel St, Suite A, Anchorage, AK 99508-5300 2012-02-11
1801043013 Zachary John Steiner Surgery 4001 Laurel St, Ste 204, Anchorage, AK 99508-5300 2008-08-19
1861674285 David D Beal Md PC Otolaryngology 4001 Laurel St, Ste 204, Anchorage, AK 99508-5300 2007-11-27
1952521346 Douglas J Luiten Dentist 4001 Laurel St, Suite 208, Anchorage, AK 99508-5332 2007-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770814923 Jason E Polchinski Psychiatry & Neurology 3900 Ambassador Dr, Anchorage, AK 99508 2010-01-27
1578701033 Marci L Troxell Psychiatry & Neurology 2841 Debarr Rd Ste 32, Anchorage, AK 99508-2967 2009-01-21
1710157995 North Pacific Neuromonitoring Associates, P.C. Psychiatry & Neurology 2100 N Star St, Anchorage, AK 99503-1819 2008-03-04
1912078833 Shirley H Fraser Psychiatry & Neurology 1200 I St, #704, Anchorage, AK 99501 2006-11-13
1801808969 Stanford W. Downs Psychiatry & Neurology 2741 Debarr Rd Ste 413, Anchorage, AK 99508-2953 2006-08-13
1346200227 Kim E Madden Psychiatry & Neurology 4141 B St, Suite 401, Anchorage, AK 99503-5940 2006-03-24
1972042612 Alaska Inpatient Neurology Services, LLC Psychiatry & Neurology 2741 Debarr Rd, Suite 413, Anchorage, AK 99508-2961 2017-02-14
1528334539 Alaska Sleep Disorder Center LLC Psychiatry & Neurology 3400 Latouche St, Suite 200, Anchorage, AK 99508-4208 2012-03-25
1366715245 Graham Glass Md, LLC Psychiatry & Neurology 2440 E Tudor Rd, Pmb #1111, Anchorage, AK 99507-1185 2012-02-22
1225348592 Christina Viola Darby Psychiatry & Neurology 3900 Ambassador Dr, Anchorage, AK 99508-5922 2010-10-20
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Competitor

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City ANCHORAGE
Zip Code 99508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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