Individual
DR. LYNETTE MARDEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 643-9800
(208) 785-3876
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 643-9800
(208) 785-3876
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
5312088-1205
UT
207RP1001X
Pulmonary Disease Physician
Primary
8971581
ID
207RP1001X
Pulmonary Disease Physician
Primary
Z9987
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36798
INTERMOUNTAIN MEDICAL CENTER PHYSICIAN ID CODE
UT
01
—
Z9987
HOPKINS MD ID#
MD
Enumeration date
01/31/2007
Last updated
05/05/2026
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