Organization
LIFEPOINT REHAB PHYSICIAN SERVICES LLC
Active
Other names
Portneuf Rehabilitation Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (ASSISTANT VICE PRESIDENT)
(615) 920-7688
Entity
Organization
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1000
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
03/27/2023
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