National Provider Identifier Database

KATIE R LAKE
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

KATIE R LAKE
308 MISSION DRIVE
SAINT IGNATIUS, MT59864
Phone: 406-745-3575
Fax: 406-745-4233
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for KATIE R LAKE

NPI Number 1669790200
Credentials
Entity Individual
Enumeration date 05/06/2010
Last updated 05/06/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • MT License #: 2969
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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