Individual
LINDSEY K. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 FOREST ST, MCCALL, ID 83638-5256
(208) 634-2225
(208) 634-7212
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1861278
ID
207N00000X
Dermatology Physician
A103126
CA
207R00000X
Internal Medicine Physician
47332
WI
Other
Enumeration date
04/20/2006
Last updated
08/11/2025
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