Lacie Dietrich, RN

NPI #1477907095 in Lewiston, Idaho

Provider Information

NPI Number: 1477907095
Entity Type: Individual
Name: Lacie Dietrich, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Apr 20, 2016
Last Updated: Apr 20, 2016

Practice Location

Address: 1118 F ST
City: Lewiston
State: Idaho
ZIP Code: 83501-1930
Phone: (208) 899-9405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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