Individual
CECILIA LOPEZ-AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 TYHEE AVE, AMERICAN FALLS, ID 83211-1224
(208) 226-1057
(208) 240-6720
Mailing address
502 TYHEE AVE, AMERICAN FALLS, ID 83211-1224
(208) 226-1057
(208) 240-6720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8471899
ID
363L00000X
Nurse Practitioner
Primary
8471899
ID
Other
Enumeration date
01/29/2026
Last updated
04/29/2026
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