Individual
MEGAN LENKERSDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2121
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 367-7350
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
62697
ID
363L00000X
Nurse Practitioner
Primary
62697
ID
Other
Enumeration date
11/06/2019
Last updated
12/03/2019
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