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Lakeside Aesthetics - Llc
Primary Care Nurse Practitioner in Sandpoint, Idaho
NPI 1851873756

Lakeside Aesthetics - Llc is a Primary Care Nurse Practitioner based in Sagle, ID and is specialized in Primary Care. Lakeside Aesthetics - Llc practices in Sandpoint, ID. The NPI Number for Lakeside Aesthetics - Llc is 1851873756 and holds a License No. (Idaho).

The current practice location address for Lakeside Aesthetics - Llc is 1005 Highway 2, Sandpoint, ID and can be reached out via phone at 208-290-3302. You can also correspond with Lakeside Aesthetics - Llc through the mailing address at PO BOX 333, SAGLE, ID - 83860-0333 (mailing address contact number: 208-290-3302).

Location: 1005 Highway 2, Sandpoint, ID, 83860-0333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851873756
Provider Name
Lakeside Aesthetics - Llc
Credential
Provider Entity Type
Organization
Address
1005 Highway 2, Sandpoint, ID, 83860-0333
Phone Number
208-290-3302
Fax Number
Provider Enumeration Date
09/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1029A 01 ID IDAHO STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1005 Highway 2
City
Sandpoint
State
Idaho
Zip
83864-1702
Phone Number
208-290-3302
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 333
City
Sagle
State
Idaho
Zip
83860-0333
Phone Number
208-290-3302
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
NP1029A (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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