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Individual

ALYSSA K LUNDQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
962 STONERIDGE DR STE 2, BOZEMAN, MT 59718-7083
(406) 600-4518
(406) 605-0771
Mailing address
962 STONERIDGE DR STE 2, BOZEMAN, MT 59718-7083
(406) 600-4518
(406) 605-0771

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
206543
MT
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-3183
MT

Other

Enumeration date
09/06/2012
Last updated
05/07/2024
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