Living Legacy Health LLC

NPI #1891487997 in Lewiston, Idaho

Provider Information

NPI Number: 1891487997
Entity Type: Organization
Organization Name: Living Legacy Health LLC
Primary Specialty: Family Medicine
Enumeration Date: May 25, 2023
Last Updated: Jan 2, 2024

Practice Location

Address: 7717 PADDOCK LN
City: Lewiston
State: Idaho
ZIP Code: 83501-6291
Phone: (208) 503-3113

Authorized Official

Name: DR. JOHN RUDOLPH, DO
Title: OWNER
Phone: (208) 503-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Family Medicine	207Q00000X	Primary

Additional Practice Locations

1820 Grande Ronde ct

Lewiston, ID, 83501

(208) 503-3113

Similar Providers

Provider Name	Specialty	City
Larry Dean Harries, MD	Family Medicine	Lewiston	AI Deep Dive
DR. Christine C Schaller, MD	Family Medicine	Lewiston	AI Deep Dive
DR. Donald J Greggain, M.D.	Family Medicine	Lewiston	AI Deep Dive
DR. Garrett Alan Mockler, MD	Family Medicine	Lewiston	AI Deep Dive
Glenn E Jefferson JR., MD	Family Medicine	Lewiston	AI Deep Dive

Want to research this healthcare provider further?