NPI 1053538884

Matthew C. Lake, DC

Practitioner Chiropractor Kalispell, MT

Practice location

Address: 505 1st Ave E, Kalispell, MT 59901-4939
Phone: (406) 755-1117

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 899 (MT)

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Registry record

NPI: 1053538884
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2007
Record last updated: 5 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.