Individual
WALTER A LAJARA-NANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 25TH STREET SOUTH, 3RD FLOOR, GREAT FALLS, MT 59405-5183
(406) 731-8888
(406) 731-8876
Mailing address
1401 25TH STREET SOUTH, 3RD FLOOR, GREAT FALLS, MT 59405-5183
(406) 731-8888
(406) 731-8876
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
75041
MT
2084N0400X
Neurology Physician
L4510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100056860A
—
OK
Enumeration date
08/18/2005
Last updated
04/08/2024
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