Organization
LAGRECA EYE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA J. PROCTOR (BILLING SUPERVISOR)
(406) 294-6586
Entity
Organization
Contact information
Practice address
2475 VILLAGE LN, STE 202, BILLINGS, MT 59102-2497
(406) 252-6608
Mailing address
2475 VILLAGE LN, STE 202, BILLINGS, MT 59102-2497
(406) 252-6608
(406) 252-6600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780866251
—
MT
01
—
CJ9407
MT RR MCARE
MT
Enumeration date
11/27/2007
Last updated
12/29/2011
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