SCOTT ANDERSON LANE

BOISE, ID
NPI1134870728
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95019746)
Enumeration Date2022-01-14
Last Update Date2023-12-07
Business Address
SCOTT ANDERSON LANE FNP
9149 W BLACK EAGLE DR
BOISE, ID 83709-1572
Phone number: 208-501-3999
Mailing Address
SCOTT ANDERSON LANE FNP
9149 W BLACK EAGLE DR
BOISE, ID 83709-1572
Phone number: 208-501-3999