LIBBY A LAKE

GREAT FALLS, MT
NPI1932194750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MT  10625)
Enumeration Date2005-09-19
Last Update Date2011-08-05
Business Address
-- LIBBY A LAKE MD
1400 29TH ST S
GREAT FALLS, MT 59405-5353
Phone number: 406-454-2171
Mailing Address
-- LIBBY A LAKE MD
1400 29TH ST S
GREAT FALLS, MT 59405-5353
Phone number: 406-454-2171
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