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Lakeside Pediatric & Adolescent Medicine, Pllc
Pediatric Adolescent Medicine Physician in Coeur D'alene, Idaho
NPI 1003975087

Lakeside Pediatric & Adolescent Medicine, Pllc is a Pediatric Adolescent Medicine Physician based in Coeur D'alene, ID and is specialized in Adolescent Medicine. Lakeside Pediatric & Adolescent Medicine, Pllc practices in Coeur D'alene, ID. The NPI Number for Lakeside Pediatric & Adolescent Medicine, Pllc is 1003975087 and holds a License No. (Idaho).

The current practice location address for Lakeside Pediatric & Adolescent Medicine, Pllc is 980 W Ironwood Dr, Coeur D'alene, ID and can be reached out via phone at 208-292-5437 and via fax at 208-292-5441.

Location: 980 W Ironwood Dr, Coeur D'alene, ID, 83814-2601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003975087
Provider Name
Lakeside Pediatric & Adolescent Medicine, Pllc
Credential
Provider Entity Type
Organization
Address
980 W Ironwood Dr, Coeur D'alene, ID, 83814-2601
Phone Number
208-292-5437
Fax Number
208-292-5441
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806408200 05 ID
4010138351 01 ID REGENCE BLUE SHIELD GROUP
institution
Provider Business Practice Location Address Details
Address
980 W Ironwood Dr
City
Coeur D'alene
State
Idaho
Zip
83814-2601
Phone Number
208-292-5437
Fax Number
208-292-5441
person
Provider Business Mailing Address Details
Address
980 W Ironwood Dr
City
Coeur D'alene
State
Idaho
Zip
83814-2601
Phone Number
208-292-5437
Fax Number
208-292-5441
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
()
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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