| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1093977589 | BORG | ADAM | MICHAEL | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 | |
| 1609967090 | BRAINARD | CAROLYN | P | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 | |
| 1114957073 | KANE | JUSTIN | THOMAS | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 | |
| 1497315253 | KRUGER | BRADLEY | DAVIS | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 | |
| 1659462034 | LEMKE | DAVID | M | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 |