Individual
DR. MARION LYNN LUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1139 E. WINDING CREEK DRIVE, EAGLE, ID 83616-6566
(208) 938-8887
(208) 938-8897
Mailing address
502 W TWO RIVERS DR, EAGLE, ID 83616-7121
(208) 599-3303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8345
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8345
STATE LICENSE
ID
Enumeration date
03/23/2006
Last updated
04/08/2013
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