Whalio Doctors

NPI 1477001808

Lutheran Church Missouri Synod Grace Lutheran School

Organisation Local Education Agency (LEA) Pocatello, ID

Practice location

Address
1350 Baldy Ave, Pocatello, ID 83201-7104
Phone
(208) 237-4142

Authorised official

Name
Anne E Bopp
Title
Principal
Phone
(208) 237-4142

Registered specialties

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X

Registry record

NPI
1477001808
Entity type
Organization
NPI issued
14 Sep 2016
Record last updated
21 Jul 2022

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.