Provider Demographics
NPI:1295852127
Name:MULLER, LELA KARLENE
Entity Type:Individual
Prefix:
First Name:LELA
Middle Name:KARLENE
Last Name:MULLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43335 KALIFORNSKY BEACH RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-8260
Mailing Address - Country:US
Mailing Address - Phone:907-262-7977
Mailing Address - Fax:907-262-9174
Practice Address - Street 1:43335 KALIFORNSKY BEACH RD
Practice Address - Street 2:SUITE 8
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-8260
Practice Address - Country:US
Practice Address - Phone:907-262-7977
Practice Address - Fax:907-262-9174
Is Sole Proprietor?:No
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAK20171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist