NPI 1669790200

Katie R. Lake

Practitioner Radiologic Technologist St Ignatius, MT

Practice location

Address: 308 Mission Drive, St Ignatius, MT 59864
Phone: (406) 745-3575
Fax: (406) 745-4233
Mailing address: P.O. Box 880, St Ignatius, MT 59865

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 2969 (MT)

Other Radiologic Technologist providers in Montana →

Registry record

NPI: 1669790200
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2010
Record last updated: 6 May 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.