Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS KATHLEEN L LACASSE, IDMT
ActiveMISS KATHLEEN L LACASSE, IDMT is a Independent Duty Medical Technician healthcare provider located in MOUNTIAN HOME AFB, Idaho. NPI 1538802830 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · MOUNTIAN HOME AFB, ID
Registration Details
- NPI Number
- 1538802830
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2022 (4.2972363006486 yrs)
- Last Updated
- Jun 26, 2023
Practice Information
- Address
-
90 HOPE DRIVE BLDG 6000MOUNTIAN HOME AFB, ID, 83648Browse ID providers · Browse ZIP 83648
- Phone
- 2088287401
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.