LAUREN K WILLIS (NPI# 1457393357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457393357 |
| Entity Type | Individual |
| Full Name | LAUREN K WILLIS |
| Credential | M.D. |
| Practice Address |
2835 Fort Missoula Rd Bldg 3 Missoula MT 59804-7423 |
| Mailing Address |
Po Box 7609 Missoula MT 59807-7609 |
| Practice Telephone | 4067215600 |
| Practice Fax Number | 4067213907 |
| Mailing Telephone | 4067215600 |
| Mailing Fax Number | 4067213907 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 55979 | MT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101222038 | VA | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
55979 | MT | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
0101222038 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 690603L | 05 | |
| VA | 005830427 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649766460 | Lauren Brooke Willis | Counselor | 537 N Broad St, Woodbury, NJ 08096-1603 | 2018-07-04 |
| 1568828630 | Lauren Willis | Registered Nurse | 2501 W Redondo Beach Blvd, Apt. 340, Gardena, CA 90249-4873 | 2016-01-05 |
| 1205235447 | Lauren Willis | Pharmacist | 1417 Heath St, Augusta, GA 30904-6211 | 2014-08-13 |
| 1558961201 | Lauren Willis | Pharmacist | 4051 Nicholasville Rd, Lexington, KY 40503-4433 | 2020-10-30 |
| 1588112361 | Lauren Gaston Willis | Pharmacist | 136 Health Park Dr, Mena, AR 71953-9072 | 2016-09-21 |
| 1578913596 | Lauren Willis | Nurse Practitioner | 9798 S Highway 259, Mc Daniels, KY 40152-7227 | 2016-06-21 |
| Street Address |
2835 FORT MISSOULA RD BLDG 3 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134632151 | Nancy Lorraine Mccourt | Social Worker | 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804-7423 | 2017-11-13 |
| 1245672914 | Saul M. J. Rivard | Family Medicine | 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 | 2013-07-23 |
| 1063689263 | Western Montana Clinic PC | Clinic/Center | 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804-7423 | 2008-05-15 |
| 1033285861 | Aubrey M Remmers | Family Medicine | 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804-7423 | 2006-11-24 |
| 1245273622 | Jennifer K Hall | Pediatrics | 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804-7423 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225013527 | Uwe Blecker | Pediatrics | 1232 N 30th St Ste 200, Billings, MT 59101-0139 | 2005-12-08 |
| 1154785822 | Kalispell Regional Medical Center Inc | Pediatrics | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2016-04-08 |
| 1770639387 | Thomas E. Flass | Pediatrics | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2007-01-26 |
| 1952458747 | Daniel Lustig | Pediatrics | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2007-01-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.