FAMILY PRACTICE BY THE LAKE LLC is a family medicine in Coeur D Alene, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY PRACTICE BY THE LAKE LLC NPI is 1295283810. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
1875 N LAKEWOOD DR STE 205
COEUR D ALENE, ID
ZIP 83814-928
Phone: (208) 966-4087
Fax: (208) 966-4031
The provider's authorized official is Jacqueline Lee Wagner .
The authorized official title is Owner and has the following contact phone number (208) 661-1181.
The CLIA number assigned to this NPI record is 13D2118549 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/12/2016 and was last updated on 3/25/2024.