Organization
LORENE H LINDLEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENE H LINDLEY MD (PHYSICIAN)
(208) 664-8818
Entity
Organization
Contact information
Practice address
13859 N REFLECTION RD, RATHDRUM, ID 83858-6038
(208) 664-8818
(208) 664-4427
Mailing address
PO BOX 1414, POST FALLS, ID 83877-1414
(208) 664-8818
(208) 664-4427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148711
REGENCE BLUE SHIELD
ID
01
—
72645
BLUE CROSS OF IDAHO
ID
05
—
807019500
—
ID
01
—
P00221608
RAILROAD MEDICARE
ID
Enumeration date
09/27/2007
Last updated
06/16/2018
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