| NPI | 1861982456 |
|---|---|
| Doing Business As | ST LUKE'S LIFESTYLES MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR Sr VP & CFO 208-381-2520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |