Laser and Vein Center PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

LASER AND VEIN CENTER PLLC

Practice address

608 Northwest Blvd
Suite 301
Coeur D Alene, ID 83814-2174

Phone

(208) 676-8346

Fax

(208) 664-5345

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa D White

Title

Office Manager

Phone

(208) 676-8346

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John P Lundeby, MD

  • Surgery Physician
  • Coeur d'Alene, ID
  • NPI 1720190796
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043322811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NORTHWEST BLVD",
            "address_2": "SUITE 301",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142174",
            "telephone_number": "208-676-8346",
            "fax_number": "208-664-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NORTHWEST BLVD",
            "address_2": "SUITE 301",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142174",
            "telephone_number": "208-676-8346",
            "fax_number": "208-664-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER AND VEIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-676-8346"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Larsen
• Renee Rochelle Larsen
• Erik Werner Larson, MD
• Jeffrey J Larson, MD
• Lindsay Lartz, LCPC, LMHC
• Laser Dentistry of Coeur D'Alene
• Lizl Maureen Lasky, D.O.
• Gracee Elizabeth Lassen, DPT
• Takota Raeanne Latkowski
• Laura Sferra-Watkins, LCPC, LLC

• Vascular Surgery Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Vascular Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.