Organization
EAST LAKESIDE CLINIC
Active
Parent organization
LAKESIDE CLINIC P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESIDE CLINIC P.C.
Authorized official
MS. JILL B RIPLEY FNP (ONWER)
(406) 755-3751
Entity
Organization
Contact information
Practice address
7935 MT HIGHWAY 35 STE 201, BIGFORK, MT 59911-5711
(406) 837-4357
Mailing address
7935 MT HWY 35 STE 201, BIGFORK, MT 59911
(406) 837-4357
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
10172
MT
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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