Individual
LORI CHOVANAK KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2705 16TH AVE S, GREAT FALLS, MT 59405-5204
(406) 459-1684
Mailing address
1257 E BRIGHTWATER LN, BOISE, ID 83706-6718
(406) 459-1684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
COA. 16855-NP
OH
363LF0000X
Family Nurse Practitioner
NUR-RN-LIC-21384
MT
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN100230
MT
Other
Enumeration date
12/19/2014
Last updated
09/13/2023
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