Individual
ELIZABETH ANN LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
20 3RD ST W, KREMLIN, MT 59532-7708
(406) 945-0286
Mailing address
PO BOX 61, KREMLIN, MT 59532-0061
(406) 344-3140
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-323072
WA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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