| NPI | 1306883905 |
|---|---|
| Doing Business As | LOLO FLORENCE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOYCE E STEVENS Dir Of Ancillary & Satellite Srvcs 406-721-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 5353) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MT 290) |
| 363A00000X Physician Assistant (Licence: MT 315) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-05-15 |