LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC

COEUR D'ALENE, ID
NPI1003975087
Entity TypeOrganization
Authorized ContactDIANA R VANHOOK
Office Manager
208-292-5437
Organization Subpart ?No
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
Enumeration Date2006-12-06
Last Update Date2012-07-12
Business Address
LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC
980 W IRONWOOD DR STE 302
COEUR D'ALENE, ID 83814-2601
Phone number: 208-292-5437
Mailing Address
LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC
980 W IRONWOOD DR STE 302
COEUR D'ALENE, ID 83814-2601
Phone number: 208-292-5437
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