LISA KAY FREDRICK

COEUR D ALENE, ID
NPI1316405657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP60945)
Enumeration Date2019-03-05
Last Update Date2019-06-05
Business Address
LISA KAY FREDRICK NP
700 W IRONWOOD DR STE 350
COEUR D ALENE, ID 83814-4487
Phone number: 208-625-5230
Mailing Address
LISA KAY FREDRICK NP
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5085
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