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

Integrated Dermatology of Boise, LLC

Organization Dermatology Physician · NPI 1528704863

Integrated Dermatology of Boise, LLC is a Dermatology Physician in Meridian, Idaho. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3277 E Louise Dr Ste 360
Meridian, ID 83642-9359
Phone: (208) 900-3376
Fax: (986) 210-1370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1528704863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ellen Luchetti — Authorized Group Official · (208) 900-3376
NPI enumeratedMay 10, 2022
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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