NPI Profile for KATIE R LAKE in SAINT IGNATIUS, MT.
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiologic Technologist |
247100000X |
| NPI Number | 1669790200 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/06/2010 | |
| Last updated | 05/06/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KATIE R LAKE
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