| Laennec Inpatient Services | |
|
415 6th St Lewiston ID 83501-2431 | |
| (208) 799-5522 | |
| Not Available |
| Full Name | Laennec Inpatient Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 415 6th St, Lewiston, Idaho |
| Authorized Official Name and Position | Angel Iscovich (PRESIDENTOWNER) |
| Authorized Official Contact | 2147122403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laennec Inpatient Services 1717 Main St Suite 5200 Dallas TX 75201-4612 Ph: () - | Laennec Inpatient Services 415 6th St Lewiston ID 83501-2431 Ph: (208) 799-5522 |
| NPI Number | 1053344085 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053344085 | NPI | - | NPPES |
| 8M857 | Other | ID | BLUE CROSS |
| 000010159968 | Other | ID | BLUE SHIELD |
| 7136468 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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