Individual
LISA M. BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1620 S CELEBRATION AVE, MERIDIAN, ID 83642-2779
(208) 884-1030
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M1628
ID
Other
Enumeration date
08/13/2006
Last updated
07/24/2013
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