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

Lawrence Jedlicka, MD

Individual provider Addiction Medicine (Internal Medicine) Physician · NPI 1508958521

Lawrence Jedlicka, MD is a Neurology in Anchorage, Alaska. Qualified in 1986, 40 years ago. Practices with Kentuckyone Health Medical Group Inc, a 252-clinician group and accepts Medicare assignment. Licensed in Georgia, Kentucky and Mississippi.

Years since qualifying
40
Licensed in
GA, KY, MS
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4001 Laurel St
Anchorage, AK 99508-5300
Phone: (907) 677-1012
Fax: (907) 565-6001
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 43103 (KY)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence 069361 (GA)
Neurology Physician Taxonomy 2084N0400X · Licence 22378 (MS)

Record details

NPI number1508958521
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESMarch 22, 2018
Mailing address4001 Laurel St, Anchorage, AK 99508-5300

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Kentuckyone Health Medical Group Inc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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