NPI 1154647261

Amanda Lee

Practitioner Pediatrics Physician Caldwell, ID

Practice location

Address: 1620 S Kimball Ave, Caldwell, ID 83605-4547
Phone: (208) 505-2950
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (3)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 0-1639 (ID)

Other Pediatrics providers in Idaho →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence A-1749-13 (NM)

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence OP60471366 (WA)

Registry record

NPI: 1154647261
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2010
Record last updated: 15 Apr 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.