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Individual

DR. LEANNE M ROUSSEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
925 E POLSTON AVE, POST FALLS, ID 83854-9049
(208) 618-0787
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-6045
ID
2084P0800X
Psychiatry Physician
M6045
ID

Other

Enumeration date
05/17/2006
Last updated
10/29/2024
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