Lisa G Breisacher, L.N.P.

NPI #1700883303 in Coeur D Alene, Idaho

Provider Information

NPI Number
1700883303
Entity Type
Individual
Name
Lisa G Breisacher, L.N.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
L.N.P.
Enumeration Date
Jun 28, 2005
Last Updated
Jan 27, 2016

Practice Location

Address
1919 LINCOLN WAY
Address 2
315
State
Idaho
ZIP Code
83814-2527
Phone
(208) 625-6000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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