Organization
INTEGRATED DERMATOLOGY OF BOISE, LLC
Active
Organization
INTEGRATED DERMATOLOGY OF BOISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN J LUCHETTI MD (AUTHORIZED GROUP OFFICIAL)
(208) 900-3376
Entity
Organization
Contact information
Practice address
3277 E LOUISE DR STE 360, MERIDIAN, ID 83642-9359
(208) 900-3376
(986) 210-1370
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
12/05/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up