Organization
LIFEHOUSE HEALTHCARE PLLC
Active
Organization
LIFEHOUSE HEALTHCARE PLLC
Active
Other names
Lifehouse Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLO R OROZCO NP (SOLE MEMBER)
(208) 243-9395
Entity
Organization
Contact information
Practice address
212 S 11TH ST STE 1, COEUR D ALENE, ID 83814-4000
(208) 243-9395
(951) 466-2426
Mailing address
212 S 11TH ST STE 1, COEUR D ALENE, ID 83814-4000
(208) 667-3113
(208) 668-8213
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
11/01/2023
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