MEDICARE: LONI MARIE FRANTZICH RN

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1184558496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LONI MARIE FRANTZICH RN

Provider Business Mailing Address
First Line	:	119 MEADOWS LOOP
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-6248
Country	:	US
Telephone Number	:	406-590-1685
Fax Number	:

Provider Business Practice Location Address
First Line	:	1382 BEACH AVE
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-2119
Country	:	US
Telephone Number	:	406-590-1685
Fax Number	:

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

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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