Individual
SHANNON LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2626 N PEREGRINE PL, BOISE, ID 83702-1300
(208) 866-6215
Mailing address
2626 N PEREGRINE PL, BOISE, ID 83702-1300
(208) 866-6215
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-157021
ID
163WL0100X
Lactation Consultant (Registered Nurse)
N-39818
ID
Other
Enumeration date
10/26/2022
Last updated
12/08/2022
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