| Lakeshore Health Pllc | |
|
102 S Euclid Ave Ste 202 Sandpoint ID 83864-4939 | |
| (208) 906-2525 | |
| Not Available |
| Full Name | Lakeshore Health Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 102 S Euclid Ave Ste 202, Sandpoint, Idaho |
| Authorized Official Name and Position | Megan Skibitsky (OWNDER) |
| Authorized Official Contact | 2089062525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Health Pllc 351 S Jacobson Rd Sandpoint ID 83864-6551 Ph: (385) 290-5363 | Lakeshore Health Pllc 102 S Euclid Ave Ste 202 Sandpoint ID 83864-4939 Ph: (208) 906-2525 |
| NPI Number | 1487380655 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Medicare PECOS PAC ID | 6800262197 |
|---|---|
| Medicare Enrollment ID | O20221011001370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487380655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Megan Skibitsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801039730 PECOS PAC ID: 1052540929 Enrollment ID: I20221018002937 |
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