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Individual

MRS. LYNNE MICHELLE MARGOLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
875 S VANGUARD WAY STE 110, MERIDIAN, ID 83642-8541
(208) 463-3000
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
120505-2401
UT
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT-8371
ID

Other

Enumeration date
04/04/2008
Last updated
11/17/2022
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