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

Coeur D Alene Spine and Brain PLLC

Organization Specialist · NPI 1588714489

Coeur D Alene Spine and Brain PLLC is a Specialist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3320 N Grand Mill Ln
Coeur D Alene, ID 83814-5689
Phone: (208) 765-9100
Fax: (208) 765-9103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M8677 (ID)

Record details

NPI number1588714489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Tansy — Administrator · (208) 765-9100
NPI enumeratedJanuary 11, 2007
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689

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