Individual
MR. MARCEL ROBERT LAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1532 ELLIS ST, SUITE 103, BOZEMAN, MT 59715-8808
(406) 586-5694
(406) 586-5987
Mailing address
1450 ELLIS ST, STE. 201, BOZEMAN, MT 59715-8812
(406) 547-0122
(406) 587-5548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4674
MT
225100000X
Physical Therapist
PT17531
CA
Other
Enumeration date
12/04/2006
Last updated
10/22/2013
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