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Katie R. Lake
Radiologic Technologist in St Ignatius, Montana
NPI 1669790200

Katie R. Lake is a Radiologic Technologist based in St Ignatius, MT. Katie R. Lake practices in St Ignatius, MT. The NPI Number for Katie R. Lake is 1669790200 and holds a License No. 2969 (Montana).

The current practice location address for Katie R. Lake is 308 Mission Drive, St Ignatius, MT and can be reached out via phone at 406-745-3575 and via fax at 406-745-4233.

Location: 308 Mission Drive, St Ignatius, MT, 59865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669790200
Provider Name
Katie R. Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
308 Mission Drive, St Ignatius, MT, 59865
Phone Number
406-745-3575
Fax Number
406-745-4233
Provider Enumeration Date
05/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
308 Mission Drive
City
St Ignatius
State
Montana
Zip
59864
Phone Number
406-745-3575
Fax Number
406-745-4233
person
Provider Business Mailing Address Details
Address
308 Mission Drive
City
St Ignatius
State
Montana
Zip
59864
Phone Number
406-745-3575
Fax Number
406-745-4233
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
2969 (Montana)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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