LESLEY ANNE PORTUGAL

MOSCOW, ID
NPI1023498532
Other NameLESLEY ANNE CRUZ PORTUGAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: WA  MD60915046)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WA  MD60915046)
207R00000X Internal Medicine
(Licence: ID  M-14838)
208M00000X Hospitalist
(Licence: ID  M-14838)
Enumeration Date2015-06-01
Last Update Date2025-07-22
Business Address
Dr. LESLEY ANNE PORTUGAL M.D.
700 S MAIN ST
MOSCOW, ID 83843-3046
Phone number: 208-882-4511
Mailing Address
Dr. LESLEY ANNE PORTUGAL M.D.
700 S MAIN ST
MOSCOW, ID 83843-3046
Phone number: 208-882-4511