MEDICARE: MS. LAUREN ELIZABETH KLEESS M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	MED-PHYS-LIC-117886	MT
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	60849041	WA
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	83486	SC

General Provider Information

NPI Number	:	1346689544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAUREN ELIZABETH KLEESS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 35100
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59107-5100
Country	:	US
Telephone Number	:	406-238-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 N 30TH ST
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-0738
Country	:	US
Telephone Number	:	406-238-2500
Fax Number	:

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

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	07/14/2023

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