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1851430995
LAKE HARBOR INTERNAL MEDICINE ASSOC LLC
BOISE, ID
NPI
1851430995
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Entity Type
Organization
Authorized Contact
KERI ERLAND
Owner Physician
208-853-4556
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M6886)
Enumeration Date
2007-02-05
Last Update Date
2020-08-22
Business Address
LAKE HARBOR INTERNAL MEDICINE ASSOC LLC
3684 NORTH HARBOR LANE
BOISE, ID 83703-6914
Phone number: 208-853-4556
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Mailing Address
LAKE HARBOR INTERNAL MEDICINE ASSOC LLC
3684 NORTH HARBOR LANE
BOISE, ID 83703-6914
Phone number: 208-853-4556
Copy
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