| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1942484944 | BRIGHAM | BRANDIE | 1910 N. LAKES PLACE | MERIDIAN | ID | 83642 | ||
| 1982884110 | LASSER | HEIDI | MARIE | 1910 N LAKES PL | MERIDIAN | ID | 836465939 | |
| 1063569796 | PEARSON-CAFFERTY | CAMILLA | J | 1910 N LAKES PLACE | MERIDIAN | ID | 836465939 |