# MICHAEL D LAHEY MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982779815
- **Authorized official:** DR. MICHAEL DUANE LAHEY M.D. (M.D.)
- **Authorized official phone:** (208) 938-4080

## Contact information

- **Practice address:** 323 E RIVERSIDE DRIVE, SUITE 234, EAGLE, ID 83616
- **Practice address phone:** (208) 938-4080
- **Practice address fax:** (208) 938-8922
- **Mailing address:** 323 E RIVERSIDE DRIVE, SUITE 234, EAGLE, ID 83616
- **Mailing address phone:** (208) 938-4080
- **Mailing address fax:** (208) 938-8922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M5743 | ID | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 01/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002913000 | — | ID |