Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cherry Lane Family Clinic, PA

Organization Family Medicine Physician · NPI 1962554063

Cherry Lane Family Clinic, PA is a Family Medicine Physician in Meridian, Idaho. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 N Meridian Rd
Meridian, ID 83642-1610
Phone: (208) 884-4800
Fax: (208) 884-4802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1962554063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy McHugh — Owner · (208) 884-4800
NPI enumeratedJanuary 17, 2007
Last updated in NPPESSeptember 14, 2010
Mailing address1001 N Meridian Rd, Meridian, ID 83642-1610

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