OrganizationActive
Lisa Cooney, Md-Pc
NPI 1912932716 · Specialist · Wasilla, AK
Lisa Cooney, Md-Pc is a Specialist organization in Wasilla, AK (NPI 1912932716).
Provider details
- NPI number
- 1912932716
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Cooney, Owner/Physician(907) 376-1633
- License
- 3925 (AK)
Practice location
1751 Gardner Way
Suite E
Wasilla, AK 99654-6513
Phone: (907) 376-1633
Fax: (907) 376-7864
Street-level locationGet directions
Mailing address
1751 E. Gardner Way
Wasilla, AK 99654
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.