Individual
LAWRENCE DERBES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
423 N THIRD AVE STE 355, SANDPOINT, ID 83864-1511
(208) 265-7070
(208) 265-7071
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 265-7070
(208) 265-7071
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M-15859
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000242511
HMSA
HI
01
—
279541
UHA
HI
01
—
536740
HMN
HI
05
—
578833-01
—
HI
Enumeration date
09/22/2006
Last updated
05/01/2024
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