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Organization

LYNN J STROMBERG MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN J STROMBERG MD (PRESIDENT)
(208) 523-9800
Entity
Organization

Contact information

Practice address
2355 CORONADO, IDAHO FALLS, ID 83404
(208) 523-9800
Mailing address
PO BOX 1432, IDAHO FALLS, ID 83403-1432
(208) 523-4906
(208) 523-2025

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DA1471
RAILRAOD MEDICARE
Enumeration date
10/20/2006
Last updated
03/07/2008
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