Individual
COLIN ALAN LYNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1072 N LIBERTY ST, STE 303, BOISE, ID 83704
(208) 302-4200
(208) 302-4255
Mailing address
3340 E GOLDSTONE DR., 3116 TAUBMAN CENTER, SPC 5368, MERIDIAN, ID 83642
(208) 302-4200
(208) 302-4255
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M-14609
ID
Other
Enumeration date
05/09/2014
Last updated
07/16/2019
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