Lake, Katie R.

Lake, Katie R. is an sole proprietor health care provider with primary practice located at 308 Mission Drive , St Ignatius MT 59864. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as her primary health care specialty. Lake, Katie R. can be contacted via phone (406) 745-3575.

Contact Information

Primary practice address
308 Mission Drive St Ignatius MT 59864
Phone: (406) 745-3575
Fax: (406) 745-4233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 2969 Montana

Profile Details

NPI number 1669790200
LBN Legal business name Lake, Katie R.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2010
Last updated May 6th, 2010 - about 15 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.

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