Kelly Ann Lawson, RDH

Individual provider Active NPI Dental Hygienist · Box Elder, MT

NPI 1154628956 · NPPES record last updated Feb 15, 2011

Key facts

NPI
1154628956
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
1370 (MT)
Practice address
RR 1 Box 664
Box Elder, MT 59521-9797
Phone
(406) 395-5156
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1370MTMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1370 MT Yes

Addresses

Primary practice location

RR 1 Box 664
Box Elder, MT 59521-9797

Mailing address

RR 1 Box 664
Box Elder, MT 59521-9797
Phone (406) 395-5156

Other providers in Box Elder, MT

All providers in Box Elder, MT · Dental Hygienist in Montana

Sources for this page

Verify at the official NPI Registry.