Lakeside Holistic Health, Pllc

NPI #1669732350 in Coeur D'alene, Idaho

Provider Information

NPI Number: 1669732350
Entity Type: Organization
Organization Name: Lakeside Holistic Health, Pllc
Primary Specialty: Naturopath
Enumeration Date: May 29, 2012
Last Updated: May 29, 2012

Practice Location

Address: 518 NORTH 4TH STREET
City: Coeur D'alene
State: Idaho
ZIP Code: 83814
Phone: (208) 758-0568

Authorized Official

Name: JERRY LEE BAILEY II, DC, CAC
Title: OWNER/PARTNER
Phone: (208) 758-0568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Chiropractor	111N00000X
Naturopath	175F00000X	Primary

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