Individual
MRS. LISA VANETTE LINDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
901 N CURTIS RD, SUITE 303, BOISE, ID 83706-1338
(208) 629-8862
Mailing address
901 N CURTIS RD, SUITE 303, BOISE, ID 83706
(208) 629-8862
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-2318
ID
Other
Enumeration date
06/28/2013
Last updated
05/18/2016
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