Doctor Name: | BONNIE RAE LANKFORD |
NPI Number: | 1457567679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RMT |
License Number: | 584 |
Business Practice Address: | 345 Gros Ventre Ave Harlem, MT - 59526 |
Business Phone Number: | 4063533100 |
Business Fax Number: | 4063533229 |
Mailing Address: | 412 2nd Ave W, Box 87 DODSON |
State: | MT |
Postal Code: | 59524 |
Phone Number: | 4063834339 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RM2200X |
License Number: | 584 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Medical Laboratory |
Taxonomy Definition: |