Lakeside Medicine And Aesthetics Llc

LBN: Lakeside Aesthetics - Llc
Lakeside Medicine And Aesthetics Llc is an health care organization with primary practice located at 1005 Highway 2 , Sandpoint ID 83864-1702. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Lakeside Aesthetics - Llc can be contacted via phone (208) 290-3302, or through Fuhrman, Kelly via phone (208) 290-3302.

Contact Information

Primary practice address
1005 Highway 2 Sandpoint ID 83864-1702
Phone: (208) 290-3302
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuhrman, Kelly Nurse Practitioner (NP)
Phone: (208) 290-3302

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP1029A Idaho

Profile Details

NPI number 1851873756
LBN Legal business name Lakeside Aesthetics - Llc
DBA Doing business as Lakeside Medicine And Aesthetics Llc
Authorized official Fuhrman, Kelly Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2018
Last updated Mar 6th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851873756 NPPES
Idaho Other NP1029A IDAHO STATE LICENSE NUMBER

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