Search › Idaho › 174N00000X
Lynnelle King, IBCLC
NPI 1619591054 · on the registry since 2020 · sole proprietor
Practice
- Address
- 457 S Fitness Pl
Eagle, ID 83616 - Phone
- (208) 856-0564
- Organisation at this address
- Eagle Physical Therapy Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 174N00000X
174N00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-02
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