Organization
LOCUST GROVE WOMENS HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LEWIS (MANAGER)
(208) 955-8215
Entity
Organization
Contact information
Practice address
1545 E LEIGHFIELD DR, SUITE 100, MERIDIAN, ID 83646-5371
(208) 955-8215
(208) 445-5899
Mailing address
1545 E LEIGHFIELD DR, SUITE 100, MERIDIAN, ID 83646-5371
(208) 955-8215
(208) 445-5899
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00022842
ID
Other
Enumeration date
12/08/2016
Last updated
12/15/2016
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