Provider Demographics
NPI:1861861064
Name:LITZENBERGER, LAURIE (MS)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:LITZENBERGER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:DELTA JUNCTION
Mailing Address - State:AK
Mailing Address - Zip Code:99737-0609
Mailing Address - Country:US
Mailing Address - Phone:907-616-1188
Mailing Address - Fax:
Practice Address - Street 1:266.5 RICHARDSON HWY
Practice Address - Street 2:
Practice Address - City:DELTA JUNCTION
Practice Address - State:AK
Practice Address - Zip Code:99737
Practice Address - Country:US
Practice Address - Phone:907-803-7022
Practice Address - Fax:907-895-2020
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor