# LOLO FAMILY PRACTICE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lolo Florence Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306883905
- **Authorized official:** JOYCE E STEVENS (DIR OF ANCILLARY & SATELLITE SRVCS)
- **Authorized official phone:** (406) 721-5600

## Contact information

- **Practice address:** 11350 US HIGHWAY 93 S, LOLO, MT 59847-9689
- **Practice address phone:** (406) 273-0045
- **Practice address fax:** (406) 327-3065
- **Mailing address:** PO BOX 7638, MISSOULA, MT 59807-7638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 290 | MT | — |
| 207Q00000X | Family Medicine Physician | 5353 | MT | Yes |
| 363A00000X | Physician Assistant | 315 | MT | — |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 05/15/2008