Individual
KRISTEN MARIE LAHAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-2211
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-127396
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275226375
—
ID
05
—
200016887
—
MT
Enumeration date
06/02/2023
Last updated
11/12/2024
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