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Contact Information

LAKESIDE HOLISTIC HEALTH, PLLC
518 NORTH 4TH STREET
COEUR D'ALENE, ID83814
 Phone: 208-758-0568
 Fax: 208-765-4660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Acupuncturist

171100000X
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LAKESIDE HOLISTIC HEALTH PLLC · (Female)

NPI # 1669732350
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2012
Last updated 05/29/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID License # ACU-148
  • ID License # CHIA-932
  • WA License # NT00001257
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.

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