LANCE OLE EINERSON

MERIDIAN, ID
NPI1598310278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-6222)
Enumeration Date2019-08-08
Last Update Date2024-07-12
Business Address
LANCE OLE EINERSON DPT
2932 N EAGLE RD UNIT 100
MERIDIAN, ID 83646-6251
Phone number: 208-380-4898
Mailing Address
LANCE OLE EINERSON DPT
1525 W SOLDOTNA DR
KUNA, ID 83634-5455
Phone number: 208-380-4898
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