| NPI | 1649366477 |
|---|---|
| Other Name | LCSC |
| Entity Type | Organization |
| Authorized Contact | DENE KAY THOMAS President 208-792-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: ID M6537) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |