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NPI 1275267189

NPI 1275267189 : LINDSEY MARIE GREENE NP : COEUR D ALENE, ID

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General NPI Number Information
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    NPI Number           |    1275267189
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY MARIE GREENE NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/15/2022
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    Last Update Date     |    11/06/2025
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Provider Practice Location Address
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    Address Line         |    2290 W PRAIRIE AVE 
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    City                 |    COEUR D ALENE
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    State                |    ID
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    Zip                  |    83815-8424
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    Country              |    US
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    Telephone            |    208-772-7994
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1220 E MONTANA AVE 
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    City                 |    COEUR D ALENE
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    State                |    ID
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    Zip                  |    83814-4329
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    Country              |    US
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    Telephone            |    954-304-6062
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
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    License Number       |    73479
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    License Number State |    ID
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