Lakeside Aesthetics - LLC
Lakeside Aesthetics - LLC is a Family Medicine Physician in Sandpoint, Idaho. Licensed in Idaho. Registered with an NPI since 2018.
- Licensed in
- ID
- In the registry since
- 2018
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1005 Highway 2Sandpoint, ID 83864-1702
Phone: (208) 290-3302
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence NP1029A (ID) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1851873756 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Fuhrman — Owner/Np · (208) 290-3302 |
| Other names | Lakeside Medicine And Aesthetics Llc |
| NPI enumerated | September 6, 2018 |
| Last updated in NPPES | March 6, 2019 |
| Mailing address | Po Box 333, Sagle, ID 83860-0333 |
Other providers in Sandpoint
-
Dr. Frazier H King, MD
1218 N Division Ave Ste 208, Sandpoint, ID 83864 · (208) 263-3091
-
Dr. Jillian Verby Klaucke, MD
1218 N Division Ave Ste 208, Sandpoint, ID 83864 · (208) 263-3091
-
Tracey Koch, FNP
420 N Second Ave Ste 100, Sandpoint, ID 83864-1565 · (208) 265-2242
-
Dean Bernard Kubacz, MD
423 N Third Ave, Sandpoint, ID 83864-1511 · (208) 263-1441
-
Thomas L Lawrence, MD
1327 Superior St, Sandpoint, ID 83864-1735 · (208) 263-7101
-
W Hugh Leedy, MD
1327 Superior St, Sandpoint, ID 83864-1735 · (208) 263-1718
-
Daniel Jack Meulenberg, MD
606 N 3rd Ave Ste 101, Sandpoint, ID 83864-1594 · (208) 263-1435
-
David Scott Moran, FNP-C
810 Sixth Ave, Sandpoint, ID 83864-5396 · (931) 622-5901