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

Anthony Liccini

Individual provider Pediatrics Physician · NPI 1225569551

Anthony Liccini is a Pediatrics Physician in Boise, Idaho. Works from 2 locations. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

305 E Jefferson St
Boise, ID 83712-6231
Phone: (208) 345-0715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 W 1st Ave, Toppenish, WA 98948-1564 — (509) 865-5600

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M-16632 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence MD61058990 (WA)

Record details

NPI number1225569551
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022

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