LISA D CALDERWOOD

Dr LISA D CALDERWOOD is a female medical professional, specializing in Clinical Social Worker. She graduated in 2003.

Contact

703 JOHN ADAMS PKWY
IDAHO FALLS
ID
834014023

Tel:

LISA D CALDERWOOD Information

Npi 1467574442
Pac Id 8325192644
Professional Enrollment Id I20090820000204
Last Name CALDERWOOD
First Name LISA
Middle Name D
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2003
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 703 JOHN ADAMS PKWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834014023
Phone Number
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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