MEDICARE: LOTTIE LUCILLE BLOCK FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN33154	MT

General Provider Information

NPI Number	:	1467522615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOTTIE LUCILLE BLOCK FNP

Provider Business Mailing Address
First Line	:	1075 N MERIDIAN RD
Second Line	:	388 YODELIN RIDGE ROAD
City	:	KALISPELL
State	:	MT
Zip	:	59901-3567
Country	:	US
Telephone Number	:	406-752-5673
Fax Number	:	406-752-5672

Provider Business Practice Location Address
First Line	:	1075 NORTH MERIDIAN
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59904-3699
Country	:	US
Telephone Number	:	406-752-5673
Fax Number	:	406-752-5672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	03/07/2023

Similar Medicare Providers

1225106842 — FLATHEAD VALLEY CHEMICAL DEPENDENCY CLINIC INC
Practice Location Address:

1312 N MERIDIAN RD
KALISPELL, MT
59904-0115

Practice Phone: 406-756-6453
Practice Fax: 406-756-8546

1386775971 — MR. DEREK DALTON LAC
Practice Location Address:

1312 NORTH MERIDIAN
KALISPELL, MT
59904-0115

Practice Phone: 406-756-6453
Practice Fax: 406-756-8546

1235741216 — TIERNEY MCNULTY MA, LMFT
Practice Location Address:

350 N MERIDIAN RD UNIT 8912
KALISPELL, MT
59904-4877

Practice Phone: 406-201-7118
Practice Fax:

1083785752 — DR. DAVID C KEIM DDS
Practice Location Address:

795 SUNSET BLVD
KALISPELL, MT
59901-3699

Practice Phone: 406-752-8081
Practice Fax: 406-752-8083

1689720161 — PETER B. NELSON DMD, PC
Practice Location Address:

795 SUNSET BLVD
KALISPELL, MT
59901-3699

Practice Phone: 406-752-8302
Practice Fax:

1508200841 — FAMILY HEARING PROFESSIONALS
Practice Location Address:

795 SUNSET BLVD , STE B
KALISPELL, MT
59901-3699

Practice Phone: 406-257-4327
Practice Fax: 406-257-4395

Directions to “ LOTTIE LUCILLE BLOCK FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.