Lagerquist, Lori Jane

Lagerquist, Lori Jane is an individual health care provider with primary practice located at 435 S Crystal St Suite 200, Butte MT 59701-1506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lagerquist, Lori Jane can be contacted via phone (406) 496-3600.

Contact Information

Primary practice address
435 S Crystal St Suite 200 Butte MT 59701-1506
Phone: (406) 496-3600
Fax: (406) 496-3653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 58 (PA-C) Montana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 58 Montana

Profile Details

NPI number 1558454066
LBN Legal business name Lagerquist, Lori Jane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 11th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558454066 NPPES
Montana MEDICAID 0431847
Montana Other 090173

Popular Providers