| Lake Harbor Internal Medicine Assoc Llc | |
|
3684 North Harbor Lane Boise ID 83703-6914 | |
| (208) 853-4556 | |
| (208) 853-5544 |
| Full Name | Lake Harbor Internal Medicine Assoc Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3684 North Harbor Lane, Boise, Idaho |
| Authorized Official Name and Position | Keri Erland (OWNER PHYSICIAN) |
| Authorized Official Contact | 2088534556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Harbor Internal Medicine Assoc Llc 3684 North Harbor Lane Boise ID 83703-6914 Ph: (208) 853-4556 | Lake Harbor Internal Medicine Assoc Llc 3684 North Harbor Lane Boise ID 83703-6914 Ph: (208) 853-4556 |
| NPI Number | 1851430995 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851430995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M6886 (Idaho) | Primary |
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