Individual
LISA CALDBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
50037 US HIGHWAY 93, POLSON, MT 59860-7032
(406) 212-2211
Mailing address
41458 BULL PINE RD, POLSON, MT 59860-7696
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
799
MT
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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