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Individual

JOSEPH RANDALL LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8854 W EMERALD ST STE 102, BOISE, ID 83704-4845
(208) 323-4747
(208) 323-4848
Mailing address
8854 W EMERALD ST STE 102, BOISE, ID 83704-4845
(208) 323-4747
(208) 323-4848

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M12678
ID
207X00000X
Orthopaedic Surgery Physician
MD00047517
WA
207X00000X
Orthopaedic Surgery Physician
MD150231
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821164138
ID
Enumeration date
08/28/2006
Last updated
03/15/2018
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