Lakeside Pediatric & Adolescent Medicine, Pllc

Specialty details in registry · Coeur D'alene, ID

Call (208) 292-5437 Directions

At a glance

980 W Ironwood Dr, Coeur D'alene, ID 83814-2601

NPPES record updated Jul 12, 2012. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

980 W Ironwood Dr Ste 302
Coeur D'alene, ID 83814-2601
Professional details: NPI, taxonomy & registry record
NPI1003975087
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
2080A0000X
Enumeration date
Dec 6, 2006
Record updated
Jul 12, 2012
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2080A0000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

980 W Ironwood Dr
Ste 302
Coeur D'alene, ID 83814-2601
Phone
(208) 292-5437
Fax
(208) 292-5441
Mailing address
980 W IRONWOOD DR
STE 302
COEUR D'ALENE, ID 838142601
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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