Provider Demographics
NPI:1730697814
Name:FRANCE, ALLISON F (LAC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:F
Last Name:FRANCE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:F
Other - Last Name:BETTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:121 HEARTH CT
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-3354
Mailing Address - Country:US
Mailing Address - Phone:208-597-5025
Mailing Address - Fax:
Practice Address - Street 1:801 SHERWOOD ST STE 1-45
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-2659
Practice Address - Country:US
Practice Address - Phone:208-597-5025
Practice Address - Fax:208-597-5025
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-ACU-LIC-51997171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist