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Individual

LYDIA LORRAINE MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2290 W PRAIRIE AVE, COEUR D ALENE, ID 83815-8424
(208) 772-7994
Mailing address
15247 N VERA ST, RATHDRUM, ID 83858-8357

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61711
ID
363LF0000X
Family Nurse Practitioner
Primary
5871066
ID

Other

Enumeration date
07/15/2025
Last updated
08/19/2025
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