Individual
LORRI L HUSTWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 HERITAGE WAY, KALISPELL, MT 59901-3101
(406) 752-5027
(406) 257-5554
Mailing address
160 HERITAGE WAY, KALISPELL, MT 59901-3101
(406) 752-5027
(406) 257-5554
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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