Organization · Type 2 NPI
Lakeside Clinic P.c.
Primary Care Clinic/Center · Somers, MT
NPI number
1053665091
Active
Practice location
77 Deer Creek Rd
Somers, MT 59932-8000
Fax (406) 857-2044
Mailing address
PO Box 649
Lakeside, MT 59922-0649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1053665091
Lakeside Clinic P.c.'s National Provider Identifier is 1053665091, issued on Oct 30, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Somers, MT. The record was last updated on May 9, 2013.