| Lolo Florence Family Practice | |
|
11350 Us Highway 93 S Lolo MT 59847-9689 | |
| (406) 273-0045 | |
| (406) 327-3065 |
| Full Name | Lolo Florence Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 11350 Us Highway 93 S, Lolo, Montana |
| Authorized Official Name and Position | Joyce E Stevens (DIR OF ANCILLARY & SATELLITE SRVCS) |
| Authorized Official Contact | 4067215600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lolo Florence Family Practice Po Box 7638 Missoula MT 59807-7638 Ph: () - | Lolo Florence Family Practice 11350 Us Highway 93 S Lolo MT 59847-9689 Ph: (406) 273-0045 |
| NPI Number | 1306883905 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306883905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 290 (Montana) | Secondary |
| 207Q00000X | Family Medicine | 5353 (Montana) | Primary |
| 363A00000X | Physician Assistant | 315 (Montana) | Secondary |
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