Individual
LEA JO PIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
Mailing address
3483 E EISENHOWER DR, MERIDIAN, ID 83642-6019
(208) 539-3340
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-165
ID
Other
Enumeration date
02/14/2020
Last updated
04/19/2021
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