Individual provider · Type 1 NPI

Lara Diane Church, MD

Family Medicine Physician · Wasilla, AK

NPI number 1043280449 Active

Practice location

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

Call (907) 631-7800 Map

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262

Other practice locations

  • 141 Hilden Rd Ste 201, Credentialing Department, Ponte Vedra, FL 32081-8400 · (904) 825-1941

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XME105548 (FL)
Family Medicine Physician Primary 207Q00000X204658 (AK)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

107 other providers at this address

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About NPI 1043280449

Lara Diane Church, MD's National Provider Identifier is 1043280449, issued on Jan 26, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Wasilla, AK. The record was last updated on Aug 31, 2026.