Individual
JAIME LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 4TH AVE E, POLSON, MT 59860-2117
(406) 745-3525
Mailing address
PO BOX 880, SAINT IGNATIUS, MT 59865-0880
(406) 745-3525
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NUR-LPN-LIC-143946
MT
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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