Provider profile

Individual

Lucy Elizabeth Modahl

Radiology in Coeur D Alene, ID. NPI 1902868730, listed in the CMS NPI Registry since 04/05/2006. Bills Medicare.

NPI 1902868730Specialty RadiologyEnumerated 04/05/2006
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Registry and Medicare facts

Practice location
601 Front Avenue, Coeur D Alene, ID 83814
CMS NPI Registry
Phone
(208) 415-0524
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
04/05/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,748 Part B
CMS Medicare 2024

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