Lakeside Clinic P.c. | |
77 Deer Creek Rd Somers MT 59932-8000 | |
(406) 857-2997 | |
(406) 857-2044 |
Full Name | Lakeside Clinic P.c. |
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Speciality | Clinic/center - Primary Care |
Location | 77 Deer Creek Rd, Somers, Montana |
Authorized Official Name and Position | Jill B Ripley (OWNER) |
Authorized Official Contact | 4068572997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeside Clinic P.c. Po Box 649 Lakeside MT 59922-0649 Ph: (406) 857-2997 | Lakeside Clinic P.c. 77 Deer Creek Rd Somers MT 59932-8000 Ph: (406) 857-2997 |
NPI Number | 1053665091 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 05/09/2013 |
Identifier | Type | State | Issuer |
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1053665091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |