IndividualActive
Amanda Lee
NPI 1154647261 · Pediatrics Physician · Caldwell, ID
Provider details
- NPI number
- 1154647261
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- A-1749-13 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1620 S Kimball Ave
Caldwell, ID 83605-4547
Phone: (208) 505-2950
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 518 W 1st AveToppenish Medical-Dental ClinicToppenish, WA 98948-1564Phone: (509) 865-5600Fax: (509) 865-5783
Registry dates
- Enumerated
- 2010-04-14
- Last updated
- 2022-04-15
- Certified
- 2022-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.