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LINDSEY K. BENNETT M.D.

Individual Provider (NPI-1) Active

Dermatology

Provider Information

NPI Number
1124083266
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
211 FOREST ST, MCCALL, ID, 836385256
Phone
(208) 634-2225
Fax
(208) 634-7212

Specialties & Taxonomies

Dermatology License: CA #A103126
Internal Medicine License: WI #47332
Dermatology Primary License: ID #1861278

All Addresses

MAILING

190 E BANNOCK ST

BOISE, ID, 837126241

LOCATION

211 FOREST ST

MCCALL, ID, 836385256

(208) 634-2225