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Search › Idaho › 363LP2300X

Lynnette Khandaker, APRN-NP

NPI 1396292421 · on the registry since 2016 · sole proprietor

Practice

Address
10112 W Overland Rd
Boise, ID 83709
Phone
(087) 803-9002
Fax
(208) 375-2882
Organisation at this address
Lifepath Supports Inc
Lifepath Services Llc
Lifepath Services Llc
Lifepath Services Llc
Skybreak Therapy, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Also registered as
163WG0000X
363L00000X
363LA2200X
363LG0600X
Licence states on file
AZ, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho