| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1356361406 | ANDREWS | DAVID | B | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 | |
| 1053534461 | DYE | JEREMY | ALBERT | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 | |
| 1740386077 | FEASLINE | MARK | E | 1917 N LAKEWOOD DRIVE | COEUR D ALENE | ID | 83814 | |
| 1063503456 | FOSTER | THERESA | M | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 | |
| 1740213768 | SWIDER | DEBORAH | E | 940 W IRONWOOD DR | COEUR D ALENE | ID | 838142486 |