NPI 1083800015

Lake Harbor Internal Medicine

Organisation Specialist Boise, ID

Practice location

Address: 3684 N Harbor Ln, Boise, ID 83703-6914
Phone: (208) 853-4556
Fax: (208) 853-5544

Authorised official

Name: Kerilynn Erland
Title: Owner
Phone: (208) 853-4556

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Idaho →

Registry record

NPI: 1083800015
Entity type: Organization
NPI issued: 24 Sep 2007
Record last updated: 24 Sep 2007

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.