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Individual

ROCHELLE MARIE LYNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH, PA-S

Contact information

Practice address
211 16TH AVE N, NAMPA, ID 83687-4058
(208) 467-4431
(208) 467-7684
Mailing address
701 E PARKCENTER BLVD, BOISE, ID 83706-6528

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1203
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0242920
LABOR & INDUSTRIES
WA
05
500606345
OR
05
8528598
WA
01
P00691526
RAILROAD MEDICARE
WA
Enumeration date
07/06/2008
Last updated
11/10/2025
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