Individual
SARA MARIE LETHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
33 S THOMPSON LANE, BLACKFOOT, ID 83221
(208) 681-0050
Mailing address
33 S THOMPSON LANE, BLACKFOOT, ID 83221
(208) 681-0050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
63807
ID
Other
Enumeration date
02/08/2020
Last updated
08/23/2024
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