Center for Lifetime Health
Center for Lifetime Health provides Family Medicine Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
300 E Bannock StBoise, ID 83712
Phone: (208) 342-7400
Fax: (208) 342-1879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence M5741 (ID) |
|---|
Record details
| NPI number | 1689744963 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Colleen Shackelford — Owner · (208) 342-7400 |
| Other names | Colleen Shackelford, Llc |
| NPI enumerated | November 8, 2006 |
| Last updated in NPPES | July 25, 2023 |
| Certification date | July 25, 2023 |
| Mailing address | 300 E Bannock St, Boise, ID 83712 |
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