Locust Grove Womens Health Pllc

NPI #1952845075 in Meridian, Idaho

Provider Information

NPI Number: 1952845075
Entity Type: Organization
Organization Name: Locust Grove Womens Health Pllc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Dec 8, 2016
Last Updated: Dec 15, 2016

Practice Location

Address: 1545 E LEIGHFIELD DR
Address 2: SUITE 100
City: Meridian
State: Idaho
ZIP Code: 83646-5371
Phone: (208) 955-8215

Authorized Official

Name: KATHLEEN LEWIS
Title: MANAGER
Phone: (208) 955-8215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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