MEDICARE: LORIE ANN ALLISON ATC, ATL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	069	ID

General Provider Information

NPI Number	:	1790802643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORIE ANN ALLISON ATC, ATL

Provider Business Mailing Address
First Line	:	4803 W MYSTIC COVE DR
Second Line	:
City	:	GARDEN CITY
State	:	ID
Zip	:	83714-4785
Country	:	US
Telephone Number	:	208-404-0730
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 ROBBINS RD
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83702-4539
Country	:	US
Telephone Number	:	208-489-4040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1467490185 — MATTHEW HULQUIST MD
Practice Location Address:

600 N ROBBINS RD STE 100
BOISE, ID
83702-4539

Practice Phone: 208-381-1615
Practice Fax: 208-381-5141

1356364111 — MICHAEL MCCLAY PH.D.
Practice Location Address:

600 ROBBINS RD , SUITE 101
BOISE, ID
83702-4539

Practice Phone: 208-489-4040
Practice Fax: 208-489-4064

1902913379 — INTERMOUNTAIN ORTHOPAEDICS SPECIALISTS
Practice Location Address:

600 N ROBBINS RD , STE 100
BOISE, ID
83702-4539

Practice Phone: 208-383-0201
Practice Fax: 208-489-4300

1134208572 — LYNN F. SHENK DO
Practice Location Address:

600 N ROBBINS RD STE 300
BOISE, ID
83702-4539

Practice Phone: 208-706-0400
Practice Fax:

1871652867 — TRACIE SNYDER CFA
Practice Location Address:

600 ROBBINS RD , SUITE 401
BOISE, ID
83702-4539

Practice Phone: 208-383-0201
Practice Fax: 208-489-4300

1861545832 — MRS. SHERI MOSS HARRISON MPT, CWS
Practice Location Address:

600 ROBBINS RD
BOISE, ID
83702-4539

Practice Phone: 208-489-4444
Practice Fax:

Directions to “ LORIE ANN ALLISON ATC, ATL” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.