Lake Harbor Internal Medicine

NPI #1083800015 in Boise, Idaho

Provider Information

NPI Number: 1083800015
Entity Type: Organization
Organization Name: Lake Harbor Internal Medicine
Primary Specialty: Specialist
Enumeration Date: Sep 24, 2007
Last Updated: Sep 24, 2007

Practice Location

Address: 3684 N HARBOR LN
City: Boise
State: Idaho
ZIP Code: 83703-6914
Phone: (208) 853-4556

Authorized Official

Name: DR. KERILYNN ERLAND, M.D.
Title: OWNER
Phone: (208) 853-4556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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