LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC
Organization (NPI-2)
Active
Pediatrics, Adolescent Medicine
Provider Information
- NPI Number
1003975087- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 980 W IRONWOOD DR STE 302, COEUR D'ALENE, ID, 838142601
- Phone
- (208) 292-5437
- Fax
- (208) 292-5441
Specialties & Taxonomies
Pediatrics, Adolescent Medicine
Primary