Most Relevant Information
Provider Data
| NPI Number: | 1003412313 |
| Provider Name: | ELIZABETH LYNN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 11142452-4405 |
Most Important Dates
| Enumeration Date: | 12/10/2020 |
| Last Updated: | 02/21/2023 |
Provider Practice Location
1801 N 3RD ST STE 12
COEUR D ALENE
ID
838143400
Practice Location Phone/Fax
| Phone: | 2082612411 |
| Fax: | 8662914766 |
Provider Mailing Location
PO BOX 1173
POST FALLS
ID
838771173
Provider Mailing Phone/Fax
| Phone: | 2082612411 |
| Fax: | 8662914766 |