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1538796867
ELIZABETH ANN LAKE
KREMLIN, MT
NPI
1538796867
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Former Name
ELIZABETH ANN WIDDEKIND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: WA ALPP-323072)
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
ELIZABETH ANN LAKE CLC
20 3RD ST W
KREMLIN, MT 59532-7708
Phone number: 406-945-0286
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Mailing Address
ELIZABETH ANN LAKE CLC
PO BOX 61
KREMLIN, MT 59532-0061
Phone number: 406-344-3140
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