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

Lake Harbor Internal Medicine

Organization Specialist · NPI 1083800015

Lake Harbor Internal Medicine is a Specialist in Boise, Idaho. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3684 N Harbor Ln
Boise, ID 83703-6914
Phone: (208) 853-4556
Fax: (208) 853-5544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1083800015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerilynn Erland — Owner · (208) 853-4556
NPI enumeratedSeptember 24, 2007
Last updated in NPPESSeptember 24, 2007
Mailing address3684 N Harbor Ln, Boise, ID 83703-6914

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