Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 2005-01459 | NC |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | M10012 | ID |
NPI | 1003881970 |
---|---|
Provider Name | Lynn Ge-Zerbe |
First Address | Meridian, ID 83642-1505 |
Second Address | Meridian, ID 83642-1505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 01/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
807790200 | (05) | ID |
I42486 | (02) | NC |