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Individual

LINDSEY J CARMICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2619 W FAIRVIEW AVE STE 1100, BOISE, ID 83702-6722
(208) 706-9300
(208) 489-4300
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-944
ID

Other

Enumeration date
01/10/2012
Last updated
09/16/2024
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