Organization
LASERCARE CENTER OF IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDIE FELICE (OFFICE MANAGER)
(208) 336-8700
Entity
Organization
Contact information
Practice address
360 E MALLARD DR STE 110, BOISE, ID 83706-3945
(208) 336-8700
(208) 426-0902
Mailing address
360 E MALLARD DR STE 110, BOISE, ID 83706-3945
(208) 336-8700
(208) 426-0902
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
ID
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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