Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC
Active OrganizationLAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC is a Adolescent Medicine (Pediatrics) organization located in COEUR D'ALENE, Idaho. NPI 1003975087 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · COEUR D'ALENE, ID
Registration Details
- NPI Number
- 1003975087
- Provider Type
- Organization
- NPI Issued
- Dec 6, 2006 (19.720870018432 yrs)
- Last Updated
- Jul 12, 2012
Practice Information
- Address
-
980 W IRONWOOD DRSTE 302COEUR D'ALENE, ID, 838142601Browse ID providers · Browse ZIP 83814
- Phone
- 2082925437
- Fax
- 2082925441
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.