Organization
LANCE L ERCANBRACK M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE L ERCANBRACK M.D. (OWNER)
(406) 283-6800
Entity
Organization
Contact information
Practice address
308 LOUISIANA AVE, STE 1, LIBBY, MT 59923-2158
(406) 283-6800
(406) 283-6815
Mailing address
308 LOUISIANA AVE, STE 1, LIBBY, MT 59923-2158
(406) 283-6800
(406) 283-6815
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8804
MT
Other
Enumeration date
11/20/2008
Last updated
08/07/2014
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