Individual
LORA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
609 HOULE DR, BILLINGS, MT 59102-4862
(406) 656-3930
Mailing address
609 HOULE DR, BILLINGS, MT 59102-4862
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MT
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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