Healthcare Provider Details

I. General information

NPI: 1477416469
Provider Name (Legal Business Name): MRS. LAKOTA LYNN KINYON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAKOTA LYNN LAWSON

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3687 VETERANS DR
FORT HARRISON MT
59636-9700
US

IV. Provider business mailing address

965 ERICKSON RD
HELENA MT
59602-9315
US

V. Phone/Fax

Practice location:
  • Phone: 406-442-6410
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberNUR-LPN-LIC-147024
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: