Individual
ANGELA LEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5680
Mailing address
6 13TH AVE E, POLSON, MT 59860-5315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-120273
MT
Other
Enumeration date
02/16/2023
Last updated
06/15/2023
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