Individual
DR. LYNDON C BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 FAIRVIEW AVE STE 230, CALDWELL, ID 83605-5432
(208) 459-4667
(208) 442-6520
Mailing address
PO BOX 742941, ATLANTA, GA 30374-2941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME91308
FL
207RC0000X
Cardiovascular Disease Physician
061212
GA
207RC0000X
Cardiovascular Disease Physician
ME91308
FL
207RI0011X
Interventional Cardiology Physician
Primary
M11945
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2813611-00
—
FL
Enumeration date
09/20/2006
Last updated
07/21/2022
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