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1285689034
LISA L DOCKTER
BOISE, ID
NPI
1285689034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID m8516)
Enumeration Date
2006-05-23
Last Update Date
2024-08-26
Business Address
LISA L DOCKTER MD
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-344-3512
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Mailing Address
LISA L DOCKTER MD
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-461-7149
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