Search › Idaho › 363AM0700X
Lesley Roberts, PA-C
NPI 1568695062 · on the registry since 2009
Practice
- Address
- 913 W Canfield Ave
Coeur D Alene, ID 83815 - Phone
- (208) 819-7103
- Fax
- (208) 719-0050
- Organisation at this address
- Revitalize Health
Rathdrum Clinic, Inc.
Mind And Body RestoredInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 14775 N Kimo Ct Ste B, Rathdrum, ID
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-20
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