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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEE SELF MD PA

Active Organization

LEE SELF MD PA is a Specialist organization located in EMMETT, Idaho. NPI 1346400744 is currently active in the NPPES registry. Verify at CMS.

Specialist · EMMETT, ID

Registration Details

NPI Number
1346400744
Provider Type
Organization
NPI Issued
Jun 10, 2008 (18.196359366208 yrs)
Last Updated
Mar 24, 2023
License
M7844 (ID)

Practice Information

Address
2020 S JOHNS AVE STE B
EMMETT, ID, 836179410
Browse ID providers · Browse ZIP 83617
Phone
2084257507
Fax
2085849341
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist

Other Specialist Organizations in EMMETT, ID

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.