Individual
LOREN CLAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
350 LOUISIANA AVE, LIBBY, MT 59923-2130
(406) 293-0100
Mailing address
350 LOUISIANA AVE, LIBBY, MT 59923-2130
(406) 293-0100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13008
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431574
—
MT
Enumeration date
03/05/2007
Last updated
07/08/2007
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