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LAKE OTIS MEDICAL CLINIC
NPI 1851573331
Family Medicine in Anchorage, AK

Active since November 27, 2007
4001 LAKE OTIS PKWY, #100, ANCHORAGE, AK 99508(907) 561-7757 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Otis Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE OTIS MEDICAL CLINIC (NPI 1851573331) is a healthcare organization registered as a family medicine in Anchorage, Alaska and active in the NPI registry since November 2007. The organization lists Deborah L Maclean, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1851573331
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIMOND MEDICAL CLINIC, LLC
Location Address4001 LAKE OTIS PKWY, #100Anchorage, AK 99508-5211
Mailing Address300 E Dimond Blvd, #12Anchorage, AK 99515-1908 · (907) 341-7757
Phone(907) 561-7757
Organization SubpartNo
Authorized OfficialDeborah L MacleanOffice Mgr · (907) 341-7757
Enumeration DateNovember 27, 2007
✔ NPI 1851573331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 905735
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4001 LAKE OTIS PKWY, Anchorage, AK 99508
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Other Names 1

Doing Business AsLake Otis Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN ERICKSON DDS
Dentist
4001 LAKE OTIS PKWY, #200
ANCHORAGE, AK 99508
Anchorage Municipality (907) 222-0400
PLANNED PARENTHOOD OF ALASKA
Clinic/Center (Family Planning, Non-Surgical)
4001 LAKE OTIS PKWY
ANCHORAGE, AK 99508
Anchorage Municipality (907) 565-7526
DR. JEFFREY DAVID LAWRENCE MD
Obstetrics & Gynecology (Obesity Medicine)
4001 LAKE OTIS PKWY, SUITE 100
ANCHORAGE, AK 99508
Anchorage Municipality (907) 561-7757
SHAWNA COOKE FNP
Nurse Practitioner (Family)
4001 LAKE OTIS PKWY
ANCHORAGE, AK 99508
Anchorage Municipality (800) 769-0045
MICHAEL J. MAUGER DMD
Dentist (Endodontics)
4001 LAKE OTIS PKWY, SUITE 202
ANCHORAGE, AK 99508
Anchorage Municipality (907) 334-9995
ELLEN KATHY LOSCH-ROWE ANP
Nurse Practitioner (Women's Health)
4001 LAKE OTIS PKWY, SUITE 101
ANCHORAGE, AK 99508
Anchorage Municipality (907) 770-9710
WILLIAM J. SOBOLESKY D.C.
Chiropractor
4001 LAKE OTIS PKWY, SUITE 200
ANCHORAGE, AK 99508
Anchorage Municipality (907) 563-2929
MICHAEL L MARK DDS
Dentist (Endodontics)
4001 LAKE OTIS PKWY, SUITE 202
ANCHORAGE, AK 99508
Anchorage Municipality (907) 334-9995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dimond Medical Clinic, LLC's NPI number?

The NPI number for Dimond Medical Clinic, LLC is 1851573331. It was assigned to this organization in the NPPES registry on November 27, 2007. The provider is doing business as Lake Otis Medical Clinic.

Where is Dimond Medical Clinic, LLC located?

Dimond Medical Clinic, LLC is located at 4001 Lake Otis Pkwy #100, Anchorage, AK 99508. The listed phone number is (907) 561-7757.

What is Dimond Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dimond Medical Clinic, LLC was last updated on November 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.