Individual
LESTER WIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10110 SOUTH 7650 EAST, CROW AGENCY, MT 59022-0009
(406) 638-3500
Mailing address
615 1ST ST W, HARDIN, MT 59034-2310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NUR-LPN-LIC-73168
MT
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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