Whalio Doctors

NPI 1063554673

Lakeland Joint School Disrict #272

Organisation Local Education Agency (LEA) Rathdrum, ID

Practice location

Address
1564 Washington Ave, Rathdrum, ID 83858
Phone
(208) 687-0431
Fax
(208) 687-1884
Mailing address
104 E Fairview Ave STE 201, Meridian, ID 83642-1733

Authorised official

Name
Todd Kenneth Levesque
Title
Systems Manager
Phone
(208) 922-3093

Registered specialties

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X

Registry record

NPI
1063554673
Entity type
Organization
NPI issued
12 Feb 2007
Record last updated
7 Jul 2008

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.