Individual
DR. ELIAS R LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1236 BOND AVE STE B, REXBURG, ID 83440-3503
(208) 522-4600
(208) 552-7521
Mailing address
1236 BOND AVE STE B, REXBURG, ID 83440-3503
(208) 522-4600
(208) 552-7521
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1271657
ID
Other
Enumeration date
05/26/2022
Last updated
01/06/2026
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