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Individual

LYNN M LUGINBUHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6273
(208) 381-7330
(208) 381-7331
Mailing address
446 COBBLE RD, MIDDLEBURY, VT 05753-9091
(802) 318-3901

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0420009180
VT
2080P0208X
Pediatric Infectious Diseases Physician
Primary
M-13435
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005349
VT
Enumeration date
10/18/2005
Last updated
10/11/2019
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