Lakeside Pediatric & Adolescent Medicine, PLLC
Lakeside Pediatric & Adolescent Medicine, PLLC is a Pediatric Adolescent Medicine Physician in Coeur D Alene, Idaho. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
980 W Ironwood Dr Ste 302Coeur D Alene, ID 83814-2601
Phone: (208) 292-5437
Fax: (208) 292-5441
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X |
|---|
Record details
| NPI number | 1003975087 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diana Vanhook — Office Manager · (208) 292-5437 |
| NPI enumerated | December 6, 2006 |
| Last updated in NPPES | July 12, 2012 |
| Mailing address | 980 W Ironwood Dr, Ste 302, Coeur D'Alene, ID 83814-2601 |