Lavonne R. Mills, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M4489 Issued in ID

Legal business name

LAVONNE R. MILLS, MD

Practice address

3307 N Stephanie Rd
Pocatello, ID 83204-7285

Phone

(208) 705-5116

NPI assigned

Jun 19, 2008

Last updated

Jun 19, 2008By 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

Lavonne R. Mills, MD

Title

Owner/President

Phone

(208) 236-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1417118787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054699",
            "telephone_number": "208-236-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 N STEPHANIE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832047285",
            "telephone_number": "208-705-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVONNE R. MILLS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "LAVONNE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-236-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Larson, RD, LD
• Richard John Lassere, M.D.
• Allie Marie Laufenburger
• Shantal Lee Laulu, LCPC, CADC
• Anna Jewel Laux
• Charles Pittman Lawless, MD
• Amanda Ariel Lawson, LMSW
• Bryan Philip Lawson, PT
• Kristy Naylor Lawson, LMT
• Steven Randall Lawyer, PHD

• Family Medicine Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.