SearchIdaho208000000X

Elias Lines, DO

NPI 1629716717 · on the registry since 2022

Practice

Address
1236 Bond Ave Ste B
Rexburg, ID 83440
Phone
(208) 522-4600
Fax
(208) 552-7521
Organisation at this address
The Pediatric Place
Just 4 Kids Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 3067 Eagle Dr, Ammon, ID

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-06

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