Individual
LAURA KRIS LINDSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
(208) 338-1796
Mailing address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
(208) 338-1796
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
O-0710
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P5837
TEXAS MEDICAL LICENSE
TX
Enumeration date
07/12/2012
Last updated
06/30/2015
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