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Individual

MRS. LYNNDA LEE MACMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-1700
Mailing address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-1700

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP 846A
ID

Other

Enumeration date
12/31/2007
Last updated
12/31/2007
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