LIBBY LAKE, MD

Family Medicine

Active Individual
NPI: 1932194750

Practice Address

1400 29TH ST S
Great Falls, MT 59405

Phone: (406) 454-2171

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 10625 (MT)

Frequently Asked Questions

NPI 1932194750 is the National Provider Identifier for LIBBY LAKE, MD, a Family Medicine provider located in Great Falls, MT. This NPI was enumerated on September 19, 2005.
LIBBY LAKE, MD practices at 1400 29TH ST S, Great Falls, MT 59405.

Quick Facts

NPI
1932194750
Type
Individual
Enumerated
Sep 19, 2005
Last Updated
Aug 5, 2011

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