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Individual

LINDA G LAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
2835 FORT MISSOULA RD, BUILDING 3, SUITE 301, MISSOULA, MT 59804-7423
(406) 327-4279
Mailing address
2835 FORT MISSOULA RD, BUILDING 3, SUITE 301, MISSOULA, MT 59804-7423
(406) 327-4279

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
868
AK
363LP0200X
Pediatric Nurse Practitioner
Primary
NUR-RN-LIC-68162
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP0867
AK
Enumeration date
08/17/2006
Last updated
04/17/2015
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