IndividualActive
Van Lamore, PA-C
NPI 1689625964 · Surgical Physician Assistant · Fairbanks, AK
Provider details
- NPI number
- 1689625964
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 004580 (MI)
Practice location
3745 Geist Rd
Fairbanks, AK 99709-3554
Phone: (907) 456-3338
Fax: (907) 456-3443
Mailing address
3745 Geist Rd
Fairbanks, AK 99709-3554
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2019-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.