NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1245817220 | BROESCH | CHARLOTTE | RENE |   | 2003 KOOTENAI HEALTH WAY | COEUR D ALENE | ID | 838146051 |
1316405657 | FREDRICK | LISA | KAY |   | 2003 KOOTENAI HEALTH WAY | COEUR D ALENE | ID | 838146051 |