SearchIdaho372600000X

Levi Hakanson

NPI 1053271874 · on the registry since 2025 · sole proprietor

Practice

Address
4847 W Talamore Dr
Meridian, ID 83646
Phone
(208) 509-9868

Registry record

Primary taxonomy
372600000X
372600000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-13

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