OrganizationActive
Laser and Vein Center PLLC
NPI 1043322811 · Vascular Surgery Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1043322811
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa White, Office Manager(208) 676-8346
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
608 Northwest Blvd
Suite 301
Coeur D Alene, ID 83814-2174
Phone: (208) 676-8346
Fax: (208) 664-5345
Approximate (ZIP-level) locationGet directions
Mailing address
608 Northwest Blvd
Coeur D Alene, ID 83814-2174
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.