Katie R. Lake
NPI #1669790200 in St Ignatius, Montana
Provider Information
- NPI Number
- 1669790200
- Entity Type
- Individual
- Name
- Katie R. Lake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Radiologic Technologist
- Enumeration Date
- May 6, 2010
- Last Updated
- May 6, 2010
Practice Location
- Address
- 308 MISSION DRIVE
- City
- St Ignatius
- State
- Montana
- ZIP Code
- 59864
- Phone
- (406) 745-3575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist |
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