Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lance Russell Dunlop, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1457452674

Dr. Lance Russell Dunlop, MD is a Psychiatry in Fairbanks, Alaska. Qualified in 2004, 22 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska, California, Michigan and New Jersey and 3 more.

Years since qualifying
22
Licensed in
AK, CA, MI, NJ, NY, PA
In the registry since
2006
Specialties on file
15
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1650 Cowles St
Fairbanks, AK 99701-5907
Phone: (907) 458-5250
Fax: (907) 458-5255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1825 Marika Rd, Fairbanks, AK 99709-5521 — (907) 474-0890

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 100774 (AK)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 339634-01 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 4301515338 (MI)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 100774 (AK)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 339634-01 (NY)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 25MA09349400 (NJ)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence MD430027 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 25MA09349400 (NJ)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence MD430027 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence C-205674 (CA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 100774 (AK)
Psychiatry Physician Taxonomy 2084P0800X · Licence W4452 (TX)
Psychiatry Physician Taxonomy 2084P0800X · Licence 339634-01 (NY)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 25MA09349400 (NJ)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD430027 (PA)

Record details

NPI number1457452674
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJuly 18, 2026
Certification dateJuly 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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