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1780626127
LISA R KOLTES
CALDWELL, ID
NPI
1780626127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M7598)
Enumeration Date
2006-06-11
Last Update Date
2007-07-08
Business Address
LISA R KOLTES MD
315 E ELM ST SUITE 100
CALDWELL, ID 83605-4857
Phone number: 208-459-7415
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Mailing Address
LISA R KOLTES MD
315 E ELM ST SUITE 100
CALDWELL, ID 83605-4857
Phone number: 208-459-7415
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