NPI 1053140822

Northern Lakes Surgery Center, LLC

Organisation Anesthesiology Physician Hayden, ID

Practice location

Address: 8552 N Government Way, Hayden, ID 83835-9280
Phone: (208) 457-4211

Authorised official

Name: Jeffrey Robert Rees Lyman
Title: Owner and Physician
Phone: (208) 758-0719

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Idaho →

Registry record

NPI: 1053140822
Entity type: Organization
NPI issued: 30 Jul 2024
Record last updated: 30 Jul 2024

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.