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Organization

LAKESIDE CLINIC P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JILL B RIPLEY FNP (OWNER)
(406) 857-2997
Entity
Organization

Contact information

Practice address
77 DEER CREEK RD, SOMERS, MT 59932-8000
(406) 857-2997
(406) 857-2044
Mailing address
PO BOX 649, LAKESIDE, MT 59922-0649
(406) 857-2997
(406) 857-2044

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
10/30/2012
Last updated
05/09/2013
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