Search › Idaho › 176B00000X
Lisa Walters, LM CPM BSM
NPI 1215694906 · on the registry since 2021 · sole proprietor
Practice
- Address
- 9515 N Prince William Loop
Hayden, ID 83835 - Phone
- (574) 612-1281
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-29
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