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1700382421
SHANNON KATHLEEN LANCE
BOISE, ID
NPI
1700382421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: ID O-1817)
Enumeration Date
2018-04-02
Last Update Date
2023-08-23
Business Address
SHANNON KATHLEEN LANCE DO
600 N ROBBINS RD STE 302
BOISE, ID 83702-4565
Phone number: 208-706-5930
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Mailing Address
SHANNON KATHLEEN LANCE DO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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