Organization
LAKESIDE WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL B RIPLEY FNP (OWNER)
(406) 755-3751
Entity
Organization
Contact information
Practice address
77 DEER CR RD, SUITE B, SOMERS, MT 59932
(406) 755-3751
Mailing address
PO BOX 848, LAKESIDE, MT 59922-0848
(406) 755-3751
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
10172
MT
Other
Enumeration date
11/15/2013
Last updated
03/07/2023
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