Organization · Type 2 NPI

Lakeside Pediatric & Adolescent Medicine, PLLC

Pediatric Adolescent Medicine Physician · Coeur D'alene, ID

NPI number 1003975087 Active

Practice location

980 W Ironwood Dr, Ste 302
Coeur D'alene, ID 83814-2601

Call (208) 292-5437 Map

Fax (208) 292-5441

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000XNone listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

22 other providers at this address

About NPI 1003975087

Lakeside Pediatric & Adolescent Medicine, PLLC's National Provider Identifier is 1003975087, issued on Dec 6, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Coeur D'alene, ID. The record was last updated on Jul 12, 2012.