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Katie Lake
NPI 1669790200 · on the registry since 2010 · sole proprietor
Practice
- Address
- 308 Mission Drive
St Ignatius, MT 59864 - Phone
- (406) 745-3575
- Fax
- (406) 745-4233
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Radiologic Technologist
247100000X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana