Matthew C. Lake D.C.

NPI 1053538884 - Chiropractor - 111N00000X

NPI Details
NPI 1053538884
Gender Male
Enumeration Date 04/20/2007
Last Updated 10/05/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
505 1ST AVE E
KALISPELL MT, 59901-4939, US
Phone (406) 755-1117
Fax
Business Location
505 1ST AVE E
KALISPELL MT, 59901-4939, US
Phone (406) 755-1117
Fax (406) 755-1785
Toxanomy
Taxonomy Code 111N00000X
License State Montana
License Number 899
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According to our database, Dr. Matthew C. Lake D.C. NPI is 1053538884, taxonomy code is 111N00000X and license number is 899, license state is located at Montana. Matthew C. Lake D.C. physically located at 505 1st Ave E, Kalispell MT, 59901-4939. NPI Number Matthew C. Lake D.C. has the Individual type.

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1053538884 NPI number is provided on an as is basis without warranty of any kind. 1053538884 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew C. Lake D.C. are for informational purposes only.