Healthcare Provider Details

I. General information

NPI: 1003840034
Provider Name (Legal Business Name): LORENE H LINDLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 N LINCOLN ST STE B
POST FALLS ID
83854-7963
US

IV. Provider business mailing address

13859 N REFLECTION RD
RATHDRUM ID
83858-6038
US

V. Phone/Fax

Practice location:
  • Phone: 208-659-4513
  • Fax: 208-664-4427
Mailing address:
  • Phone: 208-659-4513
  • Fax: 208-664-4427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM9191
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: