Individual
LORRIE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
RR 1 BOX 664, BOX ELDER, MT 59521-9797
(406) 395-4486
Mailing address
RR 1 BOX 664, BOX ELDER, MT 59521-9797
(406) 395-4486
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
32555
MT
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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