Individual
LINSEY ETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 N LIBERTY ST, STE 101, BOISE, ID 83704-8704
(208) 367-5050
(208) 367-5151
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5050
(208) 367-5151
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M-12462
ID
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M-12462
ID
Other
Enumeration date
06/11/2008
Last updated
04/06/2015
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