Willis, Lauren K

Willis, Lauren K is an individual health care provider with primary practice located at 2835 Fort Missoula Rd Bldg 3 , Missoula MT 59804-7423. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Willis, Lauren K can be contacted via phone (406) 721-5600.

Contact Information

Primary practice address
2835 Fort Missoula Rd Bldg 3 Missoula MT 59804-7423
Phone: (406) 721-5600
Fax: (406) 721-3907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101222038 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55979 Montana
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 55979 Montana

Profile Details

NPI number 1457393357
LBN Legal business name Willis, Lauren K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 28th, 2021 - about 5 years 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 1457393357 NPPES
North Carolina MEDICAID 690603L
North Carolina MEDICAID 005830427

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