Organization
LAKE HARBOR INTERNAL MEDICINE ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI ERLAND MD (OWNER PHYSICIAN)
(208) 853-4556
Entity
Organization
Contact information
Practice address
3684 NORTH HARBOR LANE, BOISE, ID 83703-6914
(208) 853-4556
(208) 853-5544
Mailing address
3684 NORTH HARBOR LANE, BOISE, ID 83703-6914
(208) 853-4556
(208) 853-5544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M6886
ID
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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