| Mrs Lisa S Labor, MD | |
| 
					8610 W Overland Rd, Boise, ID 83709-1645  | |
| (208) 954-8711 | |
| (208) 375-2217 | 
| Full Name | Mrs Lisa S Labor | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 8610 W Overland Rd, Boise, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033435896 | NPI | - | NPPES | 
| 1033435896 | Medicaid | ID | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | M-12078 (Idaho) | Primary | 
| Entity Name | Full Circle Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Lisa S Labor, MD 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500  | Mrs Lisa S Labor, MD 8610 W Overland Rd, Boise, ID 83709-1645 Ph: (208) 954-8711  | 
Dr. Nathan D Meeker, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172  | |
Nicolas A Camilo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St., Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172  | |
Heather Carew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2645  | |
Dr. Frederick K Emge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 200, Boise, ID 83712 Phone: 208-381-7384 Fax: 208-381-7387  | |
Annis Wakelee Vargas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1072 N Liberty Street, Ste 203, Boise, ID 83701 Phone: 208-302-5800 Fax: 208-302-5855  | |
Mikelle E Mikesell, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711  |