Organization
MICHAEL D LAHEY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DUANE LAHEY M.D. (M.D.)
(208) 938-4080
Entity
Organization
Contact information
Practice address
323 E RIVERSIDE DRIVE, SUITE 234, EAGLE, ID 83616
(208) 938-4080
(208) 938-8922
Mailing address
323 E RIVERSIDE DRIVE, SUITE 234, EAGLE, ID 83616
(208) 938-4080
(208) 938-8922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M5743
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002913000
—
ID
Enumeration date
11/24/2006
Last updated
01/19/2010
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