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Contact Information

LAWRENCE DERBES JR, MD
423 N THIRD AVE STE 355
SANDPOINT, ID83864-1511
 Phone: 208-265-7070
 Fax: 208-265-7071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LAWRENCE DERBES JR · (Male)

NPI # 1902906787
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 05/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-15859
  • HI Medicaid 578833-01
  • HI Other 536740 HMN
  • HI Other 0000242511 HMSA
  • HI Other 279541 UHA
Hospital affiliation(s)
  • BONNER GENERAL HOSPITAL - (Critical Access)
    520 NORTH THIRD AVENUE
    SANDPOINT, ID 83864
  • BOUNDARY COMMUNITY HOSPITAL - (Critical Access)
    6640 KANIKSU STREET
    BONNERS FERRY, ID 83805
  • KOOTENAI MEDICAL CENTER - (Acute Care)
    2003 KOOTENAI HEALTH WAY
    COEUR D'ALENE, ID 83814
  • NEWPORT COMMUNITY HOSPITAL - (Critical Access)
    714 WEST PINE STREET
    NEWPORT, WA 99156
  • ST JOHN'S LUTHERAN HOSPITAL - (Critical Access)
    209 HEALTH PARK DR
    LIBBY, MT 59923
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.

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