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Lakeside Aesthetics - LLC

Primary Care Nurse Practitioner in Sandpoint, ID · enumerated 2018 · authorized official Kelly Fuhrman, Owner/Np.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1851873756

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Aesthetics - LLC
Other name <Unavail>
Practice address 1005 Highway 2, Sandpoint, ID, 83864
Phone (208) 290-3302
Enumeration date Sep 6, 2018
Last updated in NPPES Mar 6, 2019

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License NP1029A (ID) Primary

Authorized official

Name Kelly Fuhrman
Title Owner/Np
Phone (208) 290-3302

Other identifiers

Identifier Type State Issuer
NP1029A Other ID IDAHO STATE LICENSE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lakeside Aesthetics - LLC?
The NPI for Lakeside Aesthetics - LLC is 1851873756, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lakeside Aesthetics - LLC?
NPPES lists Kelly Fuhrman (Owner/Np) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-06.