Individual
LANCE HUBSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1646 ELDRIDGE AVE, TWIN FALLS, ID 83301-7817
(208) 734-7362
(208) 733-9463
Mailing address
PO BOX 1657, TWIN FALLS, ID 83303-1657
(208) 734-7362
(208) 733-9463
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
O0422
ID
Other
Enumeration date
03/29/2007
Last updated
08/14/2007
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