Lavonne R. Mills, Md | |
3307 N Stephanie Rd Pocatello ID 83204-7285 | |
(208) 705-5116 | |
Not Available |
Full Name | Lavonne R. Mills, Md |
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Speciality | Family Medicine |
Location | 3307 N Stephanie Rd, Pocatello, Idaho |
Authorized Official Name and Position | Lavonne R. Mills (OWNER/PRESIDENT) |
Authorized Official Contact | 2082361600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lavonne R. Mills, Md Po Box 4699 Pocatello ID 83205-4699 Ph: (208) 236-1600 | Lavonne R. Mills, Md 3307 N Stephanie Rd Pocatello ID 83204-7285 Ph: (208) 705-5116 |
NPI Number | 1417118787 |
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Provider Enumeration Date | 06/19/2008 |
Last Update Date | 06/19/2008 |
Identifier | Type | State | Issuer |
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1417118787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M4489 (Idaho) | Primary |
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Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 N 7th Ave Ste 135, Pocatello, ID 83201 Phone: 208-232-7862 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 955 W Alameda Rd, Pocatello, ID 83201 Phone: 208-237-2233 | |
Mountain View Family Medicine, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2006 Birdie Thompson Dr, Pocatello, ID 83201 Phone: 208-232-1132 Fax: 208-232-1134 |