SearchIdaho183500000X

Jill Lance

NPI 1881985836 · on the registry since 2011

Practice

Address
2051 S Cole Rd
Boise, ID 83709
Phone
(208) 323-8707
Fax
(208) 327-9577
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
J. Randall Pitman & Associates, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
ID, NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-04-26

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