Individual
DR. LEE ERIK THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6727 W STATE ST STE 130, BOISE, ID 83714-7423
(208) 853-2277
Mailing address
6727 W STATE ST STE 130, BOISE, ID 83714-7423
(208) 853-2277
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-730
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010022893
REGENCE
ID
05
—
002738600
—
ID
01
—
C-730-9
BLUE CROSS
ID
Enumeration date
04/20/2006
Last updated
07/18/2022
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