Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE R. LAKE
Active Sole ProprietorKATIE R. LAKE is a Radiologic Technologist healthcare provider located in ST IGNATIUS, Montana. NPI 1669790200 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · ST IGNATIUS, MT
Registration Details
- NPI Number
- 1669790200
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2010 (16.294543127387 yrs)
- Last Updated
- May 6, 2010
- License
-
2969 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
308 MISSION DRIVEST IGNATIUS, MT, 59864Browse MT providers · Browse ZIP 59864
- Phone
- 4067453575
- Fax
- 4067454233
- Primary Specialty
-
Radiologic Technologist
247100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.