Individual
ABBY M. LUENSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11197 W FAIRVIEW AVE, BOISE, ID 83713-7935
(208) 378-8011
(208) 322-8095
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 985-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A125780
CA
207Q00000X
Family Medicine Physician
Primary
M-12654
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538505276
—
ID
Enumeration date
05/21/2013
Last updated
11/17/2016
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