LAIRA L FONNER

MISSOULA, MT
NPI1902645286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MT  Nur-APRN-LIC-240866)
Enumeration Date2024-05-24
Last Update Date2024-09-13
Business Address
LAIRA L FONNER
2431 RIVER RD
MISSOULA, MT 59804-1239
Phone number: 406-361-5093
Mailing Address
LAIRA L FONNER
328 3RD ST W
WHITEFISH, MT 59937-3017
Phone number: 406-890-8767
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