NPI 1225303159

Taylor M Lies, PAC

Practitioner Medical Physician Assistant Polson, MT

Practice location

Address: 106 Ridgewater Dr STE a, Polson, MT 59860-8977
Phone: (406) 883-3200
Fax: (406) 883-9483

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 15504 (MT)

Other Physician Assistant providers in Montana →

Registry record

NPI: 1225303159
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2012
Record last updated: 27 Nov 2023

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.