Individual
VICKI LEA LINDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15129 CASTLE WAY, CALDWELL, ID 83607-8253
(208) 249-9031
Mailing address
15129 CASTLE WAY, CALDWELL, ID 83607-8253
(208) 249-9031
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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