Laurie Jean Randall LAC, RN

NPI 1144454810 - Registered Nurse - 163W00000X

NPI Details
NPI 1144454810
Gender Female
Enumeration Date 05/11/2009
Last Updated 05/11/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1325 WYOMING ST
MISSOULA MT, 59801-1725, US
Phone (406) 532-9800
Fax
Business Location
T-9 FORT MISSOULA
MISSOULA MT, 59804-7202, US
Phone (406) 532-8400
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Montana
License Number 16052
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According to our database, Mrs. Laurie Jean Randall LAC, RN NPI is 1144454810, taxonomy code is 163W00000X and license number is 16052, license state is located at Montana. Laurie Jean Randall LAC, RN physically located at 1325 Wyoming St, Missoula MT, 59801-1725. NPI Number Laurie Jean Randall LAC, RN has the Individual type.

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1144454810 NPI number is provided on an as is basis without warranty of any kind. 1144454810 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Jean Randall LAC, RN are for informational purposes only.