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1588618219
LISA KERN
BOISE, ID
NPI
1588618219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M6057)
Enumeration Date
2006-05-19
Last Update Date
2023-06-12
Business Address
LISA KERN MD
1673 SHORELINE DR #120
BOISE, ID 83702-6736
Phone number: 208-429-8311
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Mailing Address
LISA KERN MD
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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