Individual
LANAE ESTHER LINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
9091 W LAKE HAZEL RD APT 103, BOISE, ID 83709-6361
(208) 430-3960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8089
ID
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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