Organization
RICHARD LOCHHEAD MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A LOCHHEAD M.D. (OWNER)
(208) 327-5600
Entity
Organization
Contact information
Practice address
6140 W CURTISIAN AVE STE 400, BOISE, ID 83704-8907
(208) 327-5600
(208) 327-5602
Mailing address
6140 W CURTISIAN AVE STE 400, BOISE, ID 83704-8907
(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
—
1588063168
—
ID
01
—
8Q541
BLUE CROSS OF IDAHO
ID
Enumeration date
08/19/2014
Last updated
05/09/2022
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