KATIE R. LAKE

ST IGNATIUS, MT
NPI1669790200
Former NameKATIE R. CHEFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy247100000X Radiologic Technologist
(Licence: MT  2969)
Enumeration Date2010-05-06
Last Update Date2010-05-06
Business Address
-- KATIE R. LAKE
308 MISSION DRIVE
ST IGNATIUS, MT 59864
Phone number: 406-745-3575
Mailing Address
-- KATIE R. LAKE
P.O. BOX 880
ST IGNATIUS, MT 59865
Phone number: 406-745-3525