LASER AND VEIN CENTER PLLC NPI 1043322811

NPI Information

LASER AND VEIN CENTER PLLC is a vascular surgery surgery in Coeur D Alene, ID. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. LASER AND VEIN CENTER PLLC NPI is 1043322811. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

608 NORTHWEST BLVD
SUITE 301
COEUR D ALENE, ID
ZIP 83814-174
Phone: (208) 676-8346
Fax: (208) 664-5345

The provider's authorized official is Lisa D White .
The authorized official title is Office Manager and has the following contact phone number (208) 676-8346.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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