Individual
MISTY LYNN LAROCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WEST KENT, MISSOULA, MT 59801
(406) 541-3918
(406) 541-3813
Mailing address
PO BOX 4907, MISSOULA, MT 59806-4907
(406) 541-3918
(406) 541-3813
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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