FAMILY PRACTICE BY THE LAKE LLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1295283810- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1875 N LAKEWOOD DR STE 205, COEUR D ALENE, ID, 838144928
- Phone
- (208) 966-4087
- Fax
- (208) 966-4031
Specialties & Taxonomies
Family Medicine
Primary
Nurse Practitioner