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Search › Idaho › 103T00000X

Lillian Bengtson, SE

NPI 1225601214 · on the registry since 2021

Practice

Address
500 S 11th Ave Ste 400
Pocatello, ID 83201
Phone
(208) 232-7862
Organisation at this address
Judy Pc
Care Llc
Health West, Inc.
Health West, Inc.
Salt Lake City Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
101Y00000X
390200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-09

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