Search › Idaho › 363A00000X
Lisa Bosworth, PA
NPI 1730372756 · on the registry since 2007
Practice
- Address
- 1951 Bench Rd Ste B
Pocatello, ID 83201 - Phone
- (208) 238-1000
- Organisation at this address
- Dna With Tina Llc
Lily Pad Wellness, Llc
North Light Eyecare Pllc
Gate City Physical Therapy
Family Practice Group, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 444 Hospital Way Ste 777, Pocatello, ID
- 110 Vista Dr, Pocatello, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-14
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