Individual
LYNDSEY FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
190 E BANNOCK ST FL 9, BOISE, ID 83712-6241
(208) 381-3971
(208) 381-2566
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1687
ID
363A00000X
Physician Assistant
PA51626
CA
Other
Enumeration date
06/10/2014
Last updated
04/08/2024
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