KATIE LAKE
Radiologic Technologist
Active
Individual
NPI: 1669790200
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiologic Technologist | 247100000X | Yes | 2969 (MT) |
Frequently Asked Questions
NPI 1669790200 is the National Provider Identifier for KATIE LAKE, a Radiologic Technologist provider located in St Ignatius, MT. This NPI was enumerated on May 6, 2010.
KATIE LAKE practices at 308 MISSION DRIVE, St Ignatius, MT 59864.
Quick Facts
- NPI
- 1669790200
- Type
- Individual
- Enumerated
- May 6, 2010
- Last Updated
- May 6, 2010
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