Lisa M Barker, MD | |
1620 S Celebration Ave, Meridian, ID 83642-2779 | |
(208) 884-1030 | |
Not Available |
Full Name | Lisa M Barker |
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Gender | Female |
Speciality | Pediatrics |
Location | 1620 S Celebration Ave, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184636375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M1628 (Idaho) | Primary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Lisa M Barker, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Lisa M Barker, MD 1620 S Celebration Ave, Meridian, ID 83642-2779 Ph: (208) 884-1030 |
Kristina Miles, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2275 S Eagle Rd Ste 120, Meridian, ID 83642 Phone: 208-514-2520 Fax: 208-375-2217 | |
Mrs. Anne E. Riffle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3653 N. Locust Grove Road, Meridian, ID 83646 Phone: 208-338-5437 Fax: 208-939-9811 | |
Robert F Adams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-336-9188 | |
Joshua Edwin Albright, Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030 | |
Dr. Brian C Birch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2921 S Meridian Rd, Meridian, ID 83642 Phone: 208-297-7847 Fax: 208-203-0097 | |
Susan C Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3280 E Lanark Dr, Meridian, ID 83642 Phone: 208-377-4400 Fax: 208-377-4416 |