Individual
LISA CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2801 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1745
(406) 549-9100
Mailing address
1 COLUMBINE RD, MISSOULA, MT 59802-3332
(406) 546-1656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
358
MT
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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