Individual
MADELINE LOUISE LIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1520 W STATE ST, BOISE, ID 83702-4085
(208) 947-7700
Mailing address
5899 S SEDUM WAY, BOISE, ID 83716-7008
(208) 866-2642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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