Individual
CIERA LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 205-7282
(208) 205-7591
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5361775
ID
Other
Enumeration date
06/24/2021
Last updated
11/08/2024
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