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Michael D Lahey Md Llc
Specialist in Eagle, Idaho
NPI 1982779815

Michael D Lahey Md Llc is a Specialist based in Eagle, ID. Michael D Lahey Md Llc practices in Eagle, ID. The NPI Number for Michael D Lahey Md Llc is 1982779815 and holds a License No. M5743 (Idaho).

The current practice location address for Michael D Lahey Md Llc is 323 E Riverside Drive, Eagle, ID and can be reached out via phone at 208-938-4080 and via fax at 208-938-8922.

Location: 323 E Riverside Drive, Eagle, ID, 83616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982779815
Provider Name
Michael D Lahey Md Llc
Credential
Provider Entity Type
Organization
Address
323 E Riverside Drive, Eagle, ID, 83616
Phone Number
208-938-4080
Fax Number
208-938-8922
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002913000 05 ID
institution
Provider Business Practice Location Address Details
Address
323 E Riverside Drive
City
Eagle
State
Idaho
Zip
83616
Phone Number
208-938-4080
Fax Number
208-938-8922
person
Provider Business Mailing Address Details
Address
323 E Riverside Drive
City
Eagle
State
Idaho
Zip
83616
Phone Number
208-938-4080
Fax Number
208-938-8922
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
M5743 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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