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Individual

RICHARD LOCHHEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6140 W. CURTISIAN AVE, STE 400, BOISE, ID 83604-8907
(208) 327-5600
(208) 327-5602
Mailing address
6140 W. CURTISIAN AVE, STE 400, BOISE, ID 83604-8907
(208) 327-5600
(208) 327-5602

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M-12072
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100001266946
REGENCE BLUESHIELD OF IDAHO
ID
05
1578743522
ID
01
21120
BLUE CROSS OF IDAHO
ID
Enumeration date
11/07/2007
Last updated
05/09/2022
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