Individual
LISA L ALLENSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
326 ASH STREET, UNIT A, ST. MARIE, MT 59231-5923
(406) 524-3117
(314) 480-7061
Mailing address
PO BOX 214, SAINT MARIE, MT 59231-0214
(314) 799-8498
(314) 480-7061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
129836
MT
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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