Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCY ELIZABETH MODAHL, MD, PHD
Active Sole ProprietorLUCY ELIZABETH MODAHL, MD, PHD is a Diagnostic Radiology healthcare provider located in COEUR D ALENE, Idaho. NPI 1902868730 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1902868730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2006 (20.331029490383 yrs)
- Last Updated
- May 26, 2009
- License
-
M9541 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 FRONT AVENUESUITE #502COEUR D ALENE, ID, 83814Browse ID providers · Browse ZIP 83814
- Phone
- 2084150524
- Fax
- 2087633644
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CASEY JOHN FATZ | MD | 1306847488 |
| KEITH C HEWEL | MD | 1316948409 |
| CARL E LEY | MD | 1659373546 |
| ARNE E MICHALSON | MD | 1538161302 |
| LINDA S MICHALSON | MD | 1730181512 |
| DR. DAVID ERNEST MOODY | MD | 1902808793 |
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.