Individual
MOLLY K. LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2347 E GALA ST, STE 150, MERIDIAN, ID 83642-4881
(208) 345-3530
(208) 381-5080
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP1147A
ID
Other
Enumeration date
01/26/2012
Last updated
07/31/2012
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