Individual
DR. LINDSAY D. SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2085 PROVIDENCE WAY, IDAHO FALLS, ID 83404-4945
(208) 525-4888
(208) 525-4885
Mailing address
2085 PROVIDENCE WAY, IDAHO FALLS, ID 83404-4945
(208) 525-4888
(208) 525-4885
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M10198
ID
207ND0101X
MOHS-Micrographic Surgery Physician
M10198
ID
207NS0135X
Procedural Dermatology Physician
M10198
ID
Other
Enumeration date
08/14/2007
Last updated
03/27/2009
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