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St Lukes Clinic - Treasure Valley LLC — NPI 1861982456, Meridian, ID | NPI Central

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NPI 1861982456

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St Lukes Clinic - Treasure Valley LLC

NPI 1861982456 · Public Health & General Preventive Medicine Physician · Meridian, ID

Provider details

NPI number: 1861982456
Entity type: Organization
Primary specialty: Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
Parent organization: St. Luke'S Health System
Organization subpart: Yes
Authorized official: Jeff Taylor, Sr Vp & Cfo(208) 381-2520

Specialties & taxonomies

Public Health & General Preventive Medicine PhysicianPrimary2083P0901X
Allopathic & Osteopathic Physicians

Practice location

5155 S Howry Lane

Meridian, ID 83642

Phone: (208) 381-2222

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

190 E Bannock St

Boise, ID 83712-6241

Other names (DBA / former)

Doing business as: St Luke'S Lifestyles Medicine

Registry dates

Enumerated: 2018-05-18
Last updated: 2018-05-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.