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Individual

LORELI SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 455-3730
Mailing address
PO BOX 9649, BOISE, ID 83707-4649
(208) 472-8108
(208) 344-1926

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M7221
ID

Other

Enumeration date
06/22/2006
Last updated
08/14/2007
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