Lily Pad Wellness, LLC

NPI #1275214660 in Pocatello, Idaho

Provider Information

NPI Number: 1275214660
Entity Type: Organization
Organization Name: Lily Pad Wellness, LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Jul 27, 2023
Last Updated: Jul 27, 2023

Practice Location

Address: 1951 BENCH RD STE A
City: Pocatello
State: Idaho
ZIP Code: 83201-2073
Phone: (208) 549-7385

Authorized Official

Name: STEPHANIE A CLARK, NP
Title: OWNER
Phone: (208) 549-7385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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