LOLO FAMILY PRACTICE INC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1306883905- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11350 US HIGHWAY 93 S, LOLO, MT, 598479689
- Phone
- (406) 273-0045
- Fax
- (406) 327-3065
Specialties & Taxonomies
Psychologist
License: MT #290
Physician Assistant
License: MT #315
Family Medicine
Primary License: MT #5353
All Addresses
MAILING
PO BOX 7638
MISSOULA, MT, 598077638