NPI 1215957139

Constancio L Cleto, MT

Practitioner Medical Laboratory Technician Lapwai, ID

Practice location

Address: 111 Bever Grade, Lapwai, ID 83540
Phone: (208) 843-2271
Fax: (208) 843-2658
Mailing address: PO Box 367, Lapwai, ID 83540-0367

Registered specialties

Medical Laboratory Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RM2200X Licence MT172684-02645309 (ID)

Other Technician, Pathology providers in Idaho →

Registry record

NPI: 1215957139
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2006
Record last updated: 8 Jul 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.