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

Living Legacy Health LLC

Organization Family Medicine Physician · NPI 1891487997

Living Legacy Health LLC is a Family Medicine Physician in Lewiston, Idaho. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

7717 Paddock Ln
Lewiston, ID 83501-6291
Phone: (208) 503-3113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1820 Grande Ronde Ct, Lewiston, ID 83501 — (208) 503-3113

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X

Record details

NPI number1891487997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Rudolph — Owner · (208) 503-3113
NPI enumeratedMay 25, 2023
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address2320 Thain Grade # 1016, Lewiston, ID 83501-4115

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