Laser And Vein Center Pllc

NPI 1043322811 - Surgery - 2086S0129X

NPI Details
NPI 1043322811
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LISA D LISA
Position OFFICE MANAGER
Phone (208) 676-8346
Fax (208) 664-5345
Practice Location
608 NORTHWEST BLVD
SUITE 301
COEUR D ALENE ID, 83814-2174, US
Phone (208) 676-8346
Fax (208) 664-5345
Business Location
608 NORTHWEST BLVD
SUITE 301
COEUR D ALENE ID, 83814-2174, US
Phone (208) 676-8346
Fax (208) 664-5345
Toxanomy
Taxonomy Code 2086S0129X
License State
License Number
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According to our database, Laser And Vein Center Pllc NPI is 1043322811, taxonomy code is 2086S0129X Laser And Vein Center Pllc physically located at 608 Northwest Blvd, Coeur D Alene ID, 83814-2174. NPI Number 1033115704 has the healthcare provider type.

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1043322811 NPI number is provided on an as is basis without warranty of any kind. 1043322811 is maintained by the National Plan & Provider Enumeration System. The contents of Laser And Vein Center Pllc are for informational purposes only.