Organization
LOLO GRP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAAN WATSON (OWNER)
(425) 466-9602
Entity
Organization
Contact information
Practice address
12249 W IRVING ST, BOISE, ID 83713-2200
(425) 765-0586
Mailing address
12249 W IRVING ST, BOISE, ID 83713-2200
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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