Lake Harbor Internal Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LAKE HARBOR INTERNAL MEDICINE

Practice address

3684 N Harbor LN
Boise, ID 83703-6914

Phone

(208) 853-4556

Fax

(208) 853-5544

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By 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

Dr. Kerilynn Erland, M.D.

Title

Owner

Phone

(208) 853-4556

Specialties & licenses 1

Addresses

Tax ID family

Lake Harbor Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lake Harbor Internal Medicine Assoc LLC

  • Internal Medicine Physician
  • Boise, ID
  • NPI 1851430995
  NPD tax ID

Locations

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1083800015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3684 N HARBOR LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036914",
            "telephone_number": "208-853-4556",
            "fax_number": "208-853-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3684 N HARBOR LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036914",
            "telephone_number": "208-853-4556",
            "fax_number": "208-853-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HARBOR INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "ERLAND",
        "authorized_official_first_name": "KERILYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-853-4556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura W Laforte, LCSW
• Ryann Lynn Lagomarsino
• Katherine M Laible, PAC
• Lake Harbor Dental
• Lake Harbor Dental PLLC
• Lake Harbor Internal Medicine Assoc LLC
• Juliana Lake, LMSW
• Christopher Lakey
• Judy N Lam, PH.D.
• Bryan H Lamb, DMD

• Specialist in Boise, ID
• Providers in Boise, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.