Michael D Lahey Md Llc

LBN: Michael D Lahey Md Llc
Michael D Lahey Md Llc is an health care organization with primary practice located at 323 E Riverside Drive Suite 234, Eagle ID 83616. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Michael D Lahey Md Llc can be contacted via phone (208) 938-4080, or through Lahey, Michael Duane via phone (208) 938-4080.

Contact Information

Primary practice address
323 E Riverside Drive Suite 234 Eagle ID 83616
Phone: (208) 938-4080
Fax: (208) 938-8922
Website:
Map and Directions
Authorized official contact:
Name: Lahey, Michael Duane Doctor of Medicine (MD)
Phone: (208) 938-4080

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M5743 Idaho

Profile Details

NPI number 1982779815
LBN Legal business name Michael D Lahey Md Llc
DBA Doing business as
Authorized official Lahey, Michael Duane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2006
Last updated Jan 19th, 2010 - about 15 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 1982779815 NPPES
Idaho MEDICAID 002913000

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