Individual
LACY LANGAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 N BROADWAY AVE, RED LODGE, MT 59068-9326
(406) 425-0860
Mailing address
5 COONEY RD, ROBERTS, MT 59070-9624
(406) 425-0860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8167
MT
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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