Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Integrated Dermatology of Boise, LLC

Organization Dermatology Physician · NPI 1528704863

Integrated Dermatology of Boise, LLC provides Dermatology Physician services in Meridian, Idaho. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3277 E Louise Dr Ste 360
Meridian, ID 83642-9359
Phone: (208) 900-3376
Fax: (986) 210-1370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1528704863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ellen Luchetti — Authorized Group Official · (208) 900-3376
NPI enumeratedMay 10, 2022
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

Other providers in Meridian