Lake, Libby A

Lake, Libby A is an individual health care provider with primary practice located at 1400 29Th St S , Great Falls MT 59405-5353. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Lake, Libby A can be contacted via phone (406) 454-2171.

Contact Information

Primary practice address
1400 29Th St S Great Falls MT 59405-5353
Phone: (406) 454-2171
Fax: (406) 771-3021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MED-PHYS-LIC-10625 Montana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10625 Montana

Profile Details

NPI number 1932194750
LBN Legal business name Lake, Libby A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 21st, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932194750 NPPES
Montana MEDICAID 0141453

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