Individual
DR. RYAN PHILLIP LAQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
222 2ND AVE SW, SIDNEY, MT 59270-4020
(406) 433-4757
(406) 433-1131
Mailing address
222 2ND AVE SW, SIDNEY, MT 59270-4020
(406) 433-4757
(406) 433-1131
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
986
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40363
BCBS PROVIDER NUMBER
MT
Enumeration date
12/15/2006
Last updated
07/08/2007
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