Individual
MS. LISA MARIE VANDERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 MISSION DRIVE, ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-4235
Mailing address
P.O. BOX 880, ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-4235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00159790
WA
Other
Enumeration date
10/04/2012
Last updated
04/19/2026
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