Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lavonne R. Mills, MD

Organization Family Medicine Physician · NPI 1417118787

Lavonne R. Mills, MD provides Family Medicine Physician services in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008

Practice location Address checks out

3307 N Stephanie Rd
Pocatello, ID 83204-7285 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 705-5116
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M4489 (ID)

Record details

NPI number1417118787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lavonne Mills — Owner/President · (208) 236-1600
NPI enumeratedJune 19, 2008
Last updated in NPPESJune 19, 2008
Mailing addressPo Box 4699, Pocatello, ID 83205-4699

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