Basic Information
Provider Information
NPI: 1194227579
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOYER
FirstName: DANNA
MiddleName: LEE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6998 STEPHENSON LN UNIT C
Address2:  
City: JBER
State: AK
PostalCode: 995063562
CountryCode: US
TelephoneNumber: 4402654777
FaxNumber:  
Practice Location
Address1: 16941 N EAGLE RIVER LOOP RD
Address2:  
City: EAGLE RIVER
State: AK
PostalCode: 995777824
CountryCode: US
TelephoneNumber: 9077265330
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/01/2018
LastUpdateDate: 03/01/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106S00000X AKY    

No ID Information.


Home