Individual
LANCE L ERCANBRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34169 US HIGHWAY 2 STE 3, LIBBY, MT 59923-8430
(406) 405-2112
(406) 405-3113
Mailing address
34169 US HIGHWAY 2 STE 3, LIBBY, MT 59923-8430
(406) 405-2112
(406) 405-3113
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8804
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022899
—
MT
01
—
01553
BC/BS
MT
Enumeration date
08/25/2006
Last updated
10/13/2025
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