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Lynette Fogg
NPI 1912335506 · on the registry since 2013
Practice
- Address
- 1191 E Iron Eagle Dr
Suite 200
Eagle, ID 83616 - Phone
- (208) 286-2837
- Organisation at this address
- Well Rooted Integrative Therapy Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-10-17
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