Organization
LAKE'S FAMILY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C. LAKE D.C. (OWNER/MANAGER)
(406) 755-1117
Entity
Organization
Contact information
Practice address
505 1ST AVE E, KALISPELL, MT 59901
(406) 755-1117
(406) 755-1785
Mailing address
505 1ST AVE E, KALISPELL, MT 59901
(406) 755-1117
(406) 755-1785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
899
MT
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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