Individual
BONNIE RAE LANKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
345 GROS VENTRE AVE, HARLEM, MT 59526
(406) 353-3100
(406) 353-3229
Mailing address
412 2ND AVE W, BOX 87, DODSON, MT 59524
(406) 383-4339
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
584
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
584
LICENSE
MT
01
—
76037
AMT LICENSE
MT
Enumeration date
05/15/2007
Last updated
07/08/2007
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