LISA HONG

IDAHO STATE UNIVERSITY

Dr LISA HONG is a female medical professional, specializing in Occupational Therapy. She graduated in 2007.

Contact

IDAHO STATE UNIVERSITY

650 MEMORIAL DR BLDG
68 ISU SPEECH AND HEARING CLINIC
POCATELLO
ID
832098116

Tel: 2082823495

LISA HONG Information

Npi 1295135028
Pac Id 8527289701
Professional Enrollment Id I20141103000616
Last Name HONG
First Name LISA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty OCCUPATIONAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name IDAHO STATE UNIVERSITY
Group Practice Pac Id 4688683030
Number Of Group Practice Members 12
Line 1 Street Address 650 MEMORIAL DR BLDG
Line 2 Street Address 68 ISU SPEECH AND HEARING CLINIC
Marker Of Address Line 2 Suppression
City POCATELLO
State ID
Zip Code 832098116
Phone Number 2082823495
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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