SHANNON KATHLEEN LANCE

BOISE, ID
NPI1700382421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RR0500X Internal Medicine, Rheumatology
(Licence: ID  O-1817)
Enumeration Date2018-04-02
Last Update Date2023-08-23
Business Address
SHANNON KATHLEEN LANCE DO
600 N ROBBINS RD STE 302
BOISE, ID 83702-4565
Phone number: 208-706-5930
Mailing Address
SHANNON KATHLEEN LANCE DO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: