| Lorene H Lindley Md Pc | |
|
13859 N Reflection Rd Rathdrum ID 83858-6038 | |
| (208) 664-8818 | |
| (208) 664-4427 |
| Full Name | Lorene H Lindley Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 13859 N Reflection Rd, Rathdrum, Idaho |
| Authorized Official Name and Position | Lorene H Lindley (PHYSICIAN) |
| Authorized Official Contact | 2086648818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorene H Lindley Md Pc Po Box 1414 Post Falls ID 83877-1414 Ph: (208) 664-8818 | Lorene H Lindley Md Pc 13859 N Reflection Rd Rathdrum ID 83858-6038 Ph: (208) 664-8818 |
| NPI Number | 1912194549 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 8527016484 |
|---|---|
| Medicare Enrollment ID | O20050106000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912194549 | NPI | - | NPPES |
| P00221608 | Other | ID | RAILROAD MEDICARE |
| 72645 | Other | ID | BLUE CROSS OF IDAHO |
| 807019500 | Medicaid | ID | |
| 000010148711 | Other | ID | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lorene H Lindley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003840034 PECOS PAC ID: 0244288108 Enrollment ID: I20050112000108 |
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