MEDICARE: TERESA LAHATT NAC

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	376K00000X	Nurse's Aide	NC60123444	WA

General Provider Information

NPI Number	:	1114679495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA LAHATT NAC

Provider Business Mailing Address
First Line	:	3855 QUARTER CIRCLE DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-9668
Country	:	US
Telephone Number	:	360-510-7565
Fax Number	:

Provider Business Practice Location Address
First Line	:	3855 QUARTER CIRCLE DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-9668
Country	:	US
Telephone Number	:	360-510-7565
Fax Number	:

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

Provider Enumeration Date	:	01/19/2022
Last Update Date	:	01/19/2022

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