Organization
LAKE HARBOR INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERILYNN ERLAND M.D. (OWNER)
(208) 853-4556
Entity
Organization
Contact information
Practice address
3684 N HARBOR LN, BOISE, ID 83703-6914
(208) 853-4556
(208) 853-5544
Mailing address
3684 N HARBOR LN, BOISE, ID 83703-6914
(208) 853-4556
(208) 853-5544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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