Organization
ANACONDA DEER LODGE CO FAMILY PLANNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BOLTON (DIRECTOR)
(406) 563-7863
Entity
Organization
Contact information
Practice address
118 E 7TH ST STE 1E, ANACONDA, MT 59711-2953
(406) 563-7863
(406) 563-2387
Mailing address
118 E 7TH ST STE 1E, ANACONDA, MT 59711-2953
(406) 563-7863
(406) 563-2387
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
RN11730
MT
Other
Enumeration date
03/29/2007
Last updated
09/25/2024
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