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NPI Code Detail

MEDICARE: DR. LOUISE XIAN YE-LIEW D.O.

MEDICARE:  DR. LOUISE XIAN YE-LIEW  D.O.
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
1207Q00000XFamily Medicine Physician20A12437CA
2208M00000XHospitalist PhysicianO-1288ID
3207QG0300XGeriatric Medicine (Family Medicine) PhysicianO-1288ID

General Provider Information

NPI Number : 1891051942
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUISE XIAN YE-LIEW D.O.
Provider Business Mailing Address
First Line : 141 N PALMETTO AVE UNIT 602
Second Line :
City : EAGLE
State : ID
Zip : 83616-8025
Country : US
Telephone Number : 208-509-8987
Fax Number : 208-225-6858
Provider Business Practice Location Address
First Line : 2965 EAST TARPON
Second Line : SUITE 150
City : MERIDIAN
State : ID
Zip : 83642
Country : US
Telephone Number : 208-509-8987
Fax Number : 208-225-6858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2012
Last Update Date : 12/03/2020

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Directions to “ DR. LOUISE XIAN YE-LIEW D.O.” Practice Location

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