SearchIdaho106S00000X

Lonell Woodhouse, IS

NPI 1043970114 · on the registry since 2021 · sole proprietor

Practice

Address
106 Mountain Dr
Pocatello, ID 83204
Phone
(562) 731-9705

Registry record

Primary taxonomy
106S00000X
106S00000X
Also registered as
103K00000X
Sex
Male
Record last updated
2021-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho