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Organization
LASER AND VEIN CENTER PLLC
Active
Organization
LASER AND VEIN CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA D WHITE (OFFICE MANAGER)
(208) 676-8346
Entity
Organization
Contact information
Practice address
608 NORTHWEST BLVD, SUITE 301, COEUR D ALENE, ID 83814-2174
(208) 676-8346
(208) 664-5345
Mailing address
608 NORTHWEST BLVD, SUITE 301, COEUR D ALENE, ID 83814-2174
(208) 676-8346
(208) 664-5345
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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