LUCY ELIZABETH MODAHL

COEUR D ALENE, ID
NPI1902868730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: ID  M9541)
Enumeration Date2006-04-05
Last Update Date2009-05-26
Business Address
LUCY ELIZABETH MODAHL MD, PHD
601 FRONT AVENUE SUITE #502
COEUR D ALENE, ID 83814
Phone number: 208-415-0524
Mailing Address
LUCY ELIZABETH MODAHL MD, PHD
601 FRONT AVENUE SUITE #502
COEUR D ALENE, ID 83814
Phone number: 208-415-0524
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