Individual
LISA R KOLTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 E ELM ST, SUITE 100, CALDWELL, ID 83605-4857
(208) 459-7415
(208) 453-3200
Mailing address
315 E ELM ST, SUITE 100, CALDWELL, ID 83605-4857
(208) 459-7415
(208) 453-3200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7598
ID
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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