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Individual

LIBBIE SUE LAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
175 COMMONS LOOP, STE 300, KALISPELL, MT 59901
(406) 756-7555
(406) 756-7517
Mailing address
175 COMMONS LOOP, STE 300, KALISPELL, MT 59901-1904
(406) 756-7555
(406) 756-7517

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
407
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04305054
MT
Enumeration date
11/24/2006
Last updated
04/03/2017
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