LANA BORGHOLTHAUS

POCATELLO, ID
NPI1255315974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA590)
Enumeration Date2005-12-06
Last Update Date2009-02-24
Business Address
-- LANA BORGHOLTHAUS PA
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-4700
Mailing Address
-- LANA BORGHOLTHAUS PA
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-4700
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