Dimaggio, Lucie A

Dimaggio, Lucie A is an individual health care provider with primary practice located at 2550 Addison Ave E Suite E, Twin Falls ID 83301-6749. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dimaggio, Lucie A can be contacted via phone (208) 814-7780.

Contact Information

Primary practice address
2550 Addison Ave E Suite E Twin Falls ID 83301-6749
Phone: (208) 814-7780
Fax: (208) 814-7746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M8289 Idaho

Profile Details

NPI number 1336188267
LBN Legal business name Dimaggio, Lucie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 10th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336188267 NPPES
Idaho Other P00029389 RR MEDICARE
Idaho MEDICAID 806143900 RR MEDICARE

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