MEDICARE: ELIZABETH LAIR

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	101YM0800X	Mental Health Counselor	BBH-PCLC-LIC-88966	MT

General Provider Information

NPI Number	:	1730014374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH LAIR

Provider Business Mailing Address
First Line	:	601 NIKLES DR STE 2E
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59715-2588
Country	:	US
Telephone Number	:	406-539-1254
Fax Number	:

Provider Business Practice Location Address
First Line	:	72 ARROW PEAK CT
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-1106
Country	:	US
Telephone Number	:	406-539-1254
Fax Number	:

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

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ ELIZABETH LAIR ” Practice Location

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