Meet Our Talented Team
The staff at Idaho Arthritis Center is made up of a dedicated group of professionals who are committed to making your visit to our office relaxing and enjoyable. In addition to our outstanding team of doctors and advanced practice providers, our staff includes registered infusion nurses, ultrasound technicians, phlebotomists, laboratory technicians, and medical assistants. Everyone on our staff is knowledgeable and dedicated to the health and well-being of our patients.

Mikael Lagwinski, MD
19 years

Svetlana Meier, MD
15 years

Eric Palfreyman, MD
14 years

Jenna Tucher
PA-C

Tyler Brown
PA-C

Sara Romney
PA-C
Read Full Bios
Extended bios for our team.
Mikael Lagwinski, MD
Dr. Mikael Lagwinski is Board Certified in Rheumatology and has been practicing since 2004 after graduating from the Rheumatology Fellowship Program at University Hospitals of Cleveland.
Dr. Lagwinski has a passion for volunteerism. During his medical school and residency training, he volunteered at the Open-M Clinic in Akron, Ohio which provides free health care for impoverished patients.
He continues his volunteer activities through the Volunteer Physician Network in Boise and at the Family Medicine Residency of Idaho.
Svetlana Meier, MD
Dr. Svetlana Meier is a Board Certified Rheumatologist. Born in Resekne, Latvia, she completed medical school at Riga Stradins University in Riga, Latvia.
Dr. Meier completed her internship and residency at the University of Wisconsin/Aurora Sinai Medical Center in Milwaukee, Wisconsin.
Dr. Meier completed her fellowship training in Rheumatology at the University of Nebraska Medical Center in Omaha, Nebraska.
She has also completed specialized training in the area of Musculoskeletal Ultrasound. In June of 2011, Dr. Meier re-located to Boise, Idaho to join Idaho Arthritis Center. She lives here with her husband, two sons, and daughter.
Dr. Meier was attracted to the quality of life and opportunities for outdoor recreation that the Boise community provides.
Eric Palfreyman, MD
Dr. Eric Palfreyman was born and raised in Boise, Idaho, and is excited to practice Rheumatology in his hometown community. He is Board Certified in Rheumatology and Internal Medicine.
He received his Bachelor of Science in Microbiology from Brigham Young University in Provo, Utah. Subsequently, he attended the University of Utah School of Medicine where he earned his Medical Degree in 2007.
He and his family then relocated to Cleveland, Ohio where, in 2010, he completed his Internal Medicine Internship and Residency at University Hospitals Case Medical Center. He became board-certified in Internal Medicine that same year.
Dr. Palfreyman was then accepted into the University Hospitals Case Medical Center Rheumatology Fellowship Program where he completed his Rheumatology training in June 2012.
During his residency training, Dr. Palfreyman was recognized among his peers for his humanistic approach to providing medical care. He received the Norman Gordon Award, an award presented to one medical resident for their demonstration of humanism in medicine throughout residency.
Additionally, Dr. Palfreyman demonstrated leadership throughout his training serving as the Chief Rheumatology Fellow.
Dr. Palfreyman has interpreted hundreds of DXA scans, attended a bone densitometry course, and became a Certified Clinical Densitometrist in May 2012.
Dr. Palfreyman enjoys serving in the community as well as for his church. He spent two years from 1998-2000 serving as a missionary in Northeastern Brazil. He learned various leadership skills from this experience as well as became fluent in speaking Portuguese. In all stages of schooling and training, Dr. Palfreyman has served in the community and considers it a privilege to do so.
Dr. Palfreyman looks forward to being a part of the community and enjoying outdoor recreation with his wife and four children.
Jenna Tucher, PA-C
Jenna Tucher, PA-C, is a Physician Assistant practicing rheumatology at Idaho Arthritis Center. She earned her Master of Science in Physician Assistant Studies from Mary Baldwin University and completed her undergraduate degree in Health Science and Medical Anthropology at Idaho State University.
Jenna developed a passion for rheumatology through her interest in helping patients navigate complex autoimmune and inflammatory conditions while improving their overall quality of life.
She is committed to providing patient-centered, evidence-based care and values building strong relationships with her patients to create a supportive environment where individuals feel heard, informed, and involved in their care.
Originally from Idaho, Jenna is excited to serve patients throughout the Treasure Valley community and begin her career in rheumatology close to home.
Outside of work, Jenna enjoys spending time with her Bernedoodle, going on walks, and exploring creative hobbies such as knitting and crafting.
Tyler Brown, PA-C
Tyler Brown, PA-C, is a Physician Assistant practicing rheumatology at Idaho Arthritis Center. Originally from eastern Idaho, Tyler earned his bachelor’s degree in biomedical sciences from Brigham Young University-Idaho before completing his Master of Science in Physician Assistant Studies at Des Moines University.
Tyler developed a passion for rheumatology through his interest in helping patients manage chronic autoimmune conditions and improve their long-term quality of life.
Throughout his training, he gained diverse clinical experience across family medicine, internal medicine, emergency medicine, pediatrics, women’s health, cardiology, mental health, and general surgery, including international clinical experience in Bogotá, Colombia. Tyler speaks Spanish and values building meaningful relationships with patients from diverse backgrounds.
Originally from eastern Idaho, Tyler is grateful for the opportunity to care for patients throughout the Treasure Valley and surrounding communities.
Outside of medicine, Tyler enjoys biking, running, camping, and spending time with family and friends playing board games.
Sara Romney, PA
Sara developed a passion for rheumatology through her interest in helping patients manage complex, chronic conditions and improve their quality of life.
She enjoys being able to build long-term relationships with her patients. Originally from the Treasure Valley, Sara is grateful to serve the community she calls home.
Her husband is from Utah, and together they enjoy spending time outdoors, watching football, and exploring new places. In her free time, Sara likes listening to audiobooks, flipping furniture, and traveling to tropical locations.
Get In Touch Today!
Idaho Arthritis Center is a physician-owned, independent Rheumatology practice where we provide the most advanced yet cost-effective care for our rheumatology patients, including in-office Infusion Therapy.
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