Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 87 | MT |
NPI | 1063544468 |
---|---|
Provider Name | Ms. Lynn R. Troy |
First Address | Kalispell, MT 59901-3160 |
Second Address | Kalispell, MT 59901-3160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 22/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000298498 | BCBS # (01) | MT |
202139187 | FTN # (01) | MT |