LANA BORGHOLTHAUS, PA
Physician Assistant
Active
Individual
NPI: 1255315974
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA590 (ID) |
Frequently Asked Questions
NPI 1255315974 is the National Provider Identifier for LANA BORGHOLTHAUS, PA, a Physician Assistant provider located in Pocatello, ID. This NPI was enumerated on December 6, 2005.
LANA BORGHOLTHAUS, PA practices at 465 MEMORIAL DR, Pocatello, ID 83201.
Quick Facts
- NPI
- 1255315974
- Type
- Individual
- Enumerated
- Dec 6, 2005
- Last Updated
- Feb 24, 2009
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