Lake City Shoe Repair
Lake City Shoe Repair is a Durable Medical Equipment & Medical Supplies in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2015.
- Licensed in
- ID
- In the registry since
- 2015
Practice location Address checks out
3115 N Government Way #7Coeur D Alene, ID 83815-3790
Phone: (208) 762-0797
Fax: (208) 762-0791
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence NOT REQUIRED (ID) |
|---|
Record details
| NPI number | 1346629029 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wayne Johnson — Senior Partnor · (208) 762-0797 |
| Other names | Partnership |
| NPI enumerated | May 27, 2015 |
| Last updated in NPPES | November 12, 2015 |
| Mailing address | 3115 N Government Way, 7, Coeur D Alene, ID 83815-3790 |
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