Lavonne J Little Owl, RN

Individual provider Active NPI Registered Nurse · Lame Deer, MT

NPI 1487964458 · NPPES record last updated Feb 25, 2011

Key facts

NPI
1487964458
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
27675 (MT)
Practice address
100 Cheyenne Ave
Lame Deer, MT 59043
Phone
(406) 477-4477
NPI assigned
Oct 8, 2010
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
27675MTMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 27675 MT Yes

Addresses

Primary practice location

100 Cheyenne Ave
Lame Deer, MT 59043

Mailing address

10110 South 7650 East
Crow/Northern Cheyenne Hospital
Crow Agency, MT 59022
Phone (406) 477-4477

Other names

  • Lavonne J Scalpcane Former name

Other providers in Lame Deer, MT

All providers in Lame Deer, MT · Registered Nurse in Montana

Sources for this page

Verify at the official NPI Registry.