Organization
AESTHETIC CONCEPTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA JUNE ZAJANC MSN FNP-C (OWNER NURSE PRACTITIONER)
(208) 529-6430
Entity
Organization
Contact information
Practice address
2860 CHANNING WAY STE 224, IDAHO FALLS, ID 83404-7541
(208) 529-6430
(208) 529-6428
Mailing address
2860 CHANNING WAY STE 224, IDAHO FALLS, ID 83404-7541
(208) 529-6430
(208) 529-6428
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 669-A
ID
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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