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Individual

LISA ALFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-1140
Mailing address
324 E RIO COLINAS DR, MERIDIAN, ID 83646-5902
(208) 922-0183

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
54158
ID

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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