NPI 1043322811

Laser and Vein Center PLLC

Organisation Vascular Surgery Physician Coeur D Alene, ID

Practice location

Address: 608 Northwest Blvd Suite 301, Coeur D Alene, ID 83814-2174
Phone: (208) 676-8346
Fax: (208) 664-5345

Authorised official

Name: Lisa D White
Title: Office Manager
Phone: (208) 676-8346

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Other Surgery providers in Idaho →

Registry record

NPI: 1043322811
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.