Lana Borgholthaus, PA

NPI #1255315974 in Pocatello, Idaho

Provider Information

NPI Number: 1255315974
Entity Type: Individual
Name: Lana Borgholthaus, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 6, 2005
Last Updated: Feb 24, 2009

Practice Location

Address: 465 MEMORIAL DR
City: Pocatello
State: Idaho
ZIP Code: 83201-4008
Phone: (208) 282-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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