Individual
LYNDAL E STOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2841 JUNIPER DR, LEWISTON, ID 83501-4719
(208) 743-9712
(208) 298-0212
Mailing address
2841 JUNIPER DR, LEWISTON, ID 83501-4719
(208) 743-9712
(208) 298-0212
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
M-5693
ID
Other
Enumeration date
08/08/2006
Last updated
01/15/2014
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