Fredrick, Lisa Kay

Fredrick, Lisa Kay is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 350 , Coeur D Alene ID 83814-4487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fredrick, Lisa Kay can be contacted via phone (208) 625-5230.

Contact Information

Primary practice address
700 W Ironwood Dr Ste 350 Coeur D Alene ID 83814-4487
Phone: (208) 625-5230
Fax: (208) 625-5231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP60945 Idaho

Profile Details

NPI number 1316405657
LBN Legal business name Fredrick, Lisa Kay
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Jun 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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