Healthcare Provider Details

I. General information

NPI: 1659741106
Provider Name (Legal Business Name): LAUREN MARIE MCKAY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2015
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 WILDER AVE
HELENA MT
59601-2538
US

IV. Provider business mailing address

1960 HARVEST LOOP
EAST HELENA MT
59635-9414
US

V. Phone/Fax

Practice location:
  • Phone: 406-281-0665
  • Fax:
Mailing address:
  • Phone: 406-281-0665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number100886
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number45063
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: