St Lukes Family Health, LLC

NPI #1649220385 in Meridian, Idaho

Provider Information

NPI Number: 1649220385
Entity Type: Organization
Organization Name: St Lukes Family Health, LLC
Primary Specialty: Family Medicine
Enumeration Date: May 11, 2006
Last Updated: Apr 14, 2008

Practice Location

Address: 3090 E GENTRY WAY
Address 2: SUITE 200
City: Meridian
State: Idaho
ZIP Code: 83642-3501
Phone: (208) 887-4606

Authorized Official

Name: CAROL JOHNSON
Title: ASSISTANT ADMINISTRATOR
Phone: (208) 887-4606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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