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Lakeland Chiropractic Pa
Clinic/Center in Rathdrum, Idaho
NPI 1821526260

Lakeland Chiropractic Pa is a Clinic/Center based in Rathdrum, ID. Lakeland Chiropractic Pa practices in Rathdrum, ID. The NPI Number for Lakeland Chiropractic Pa is 1821526260 and holds a License No. CHIA-924 (Idaho).

The current practice location address for Lakeland Chiropractic Pa is 14822 N Highway 41, Rathdrum, ID and can be reached out via phone at 208-687-7029.

Location: 14822 N Highway 41, Rathdrum, ID, 83858-8461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821526260
Provider Name
Lakeland Chiropractic Pa
Credential
Provider Entity Type
Organization
Address
14822 N Highway 41, Rathdrum, ID, 83858-8461
Phone Number
208-687-7029
Fax Number
Provider Enumeration Date
05/30/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881705366 01 MEDICAID, BLUE SHIELD OF IDAHO
institution
Provider Business Practice Location Address Details
Address
14822 N Highway 41
City
Rathdrum
State
Idaho
Zip
83858-8461
Phone Number
208-687-7029
Fax Number
person
Provider Business Mailing Address Details
Address
14822 N Highway 41
City
Rathdrum
State
Idaho
Zip
83858-8461
Phone Number
208-687-7029
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
CHIA-924 (Idaho)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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