Individual
LISA MICHELLE WEINREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
219 E MAIN ST, MISSOULA, MT 59802-4423
(406) 728-5490
(406) 728-5497
Mailing address
PO BOX 7024, MISSOULA, MT 59807-7024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
677
MT
Other
Enumeration date
12/12/2011
Last updated
10/27/2014
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