NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC
980 W IRONWOOD DR
STE 302
COEUR D'ALENE, ID83814-2601
 Phone: 208-292-5437
 Fax: 208-292-5441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAKESIDE PEDIATRIC ADOLESCENT MEDICINE PLLC · (Female)

NPI # 1003975087
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2006
Last updated 07/12/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 806408200
  • ID Other 4010138351 REGENCE BLUE SHIELD GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
BROOK Y LANG, MD
2003 KOOTENAI HEALTH WAY
COEUR D'ALENE, ID
LISA L MCGILL VARGAS, MD
2003 KOOTENAI HEALTH WAY
COEUR D'ALENE, ID
MATTHEW PARKER, MD
LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE
COEUR D'ALENE, ID
BRIAN J HICKOK, MD
980 W IRONWOOD DR
COEUR D'ALENE, ID
KENDRA M BLACK SMITH, MD
2003 KOOTENAI HEALTH WAY
COEUR D'ALENE, ID
KIRANDEEP K GILL, DO
1090 NORTH PARK PLACE
COEUR D'ALENE, ID
STEPHANIE POSTEN, DO
1414 N VERCLER RD STE 1
SPOKANE VALLEY, WA
HEATHER A SCHAPER, PA
306 N MAIN ST
ABERDEEN, ID
DWIGHT D WALLACE, PHARM.D.
44 S. MAIN ST
ABERDEEN, ID
DRISCOLL DENTAL, PLLC
81 W WASHINGTON AVE
ABERDEEN, ID

  View all Doctors & Physicians
v2.403