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NPI Code Detail

MEDICARE: LINDSAY A. HUBSMITH P.A.-C.

MEDICARE: LINDSAY A. HUBSMITH P.A.-C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant13359223-1206UT
2363A00000XPhysician AssistantPA-743ID

General Provider Information

NPI Number : 1750474300
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY A. HUBSMITH P.A.-C.
Provider Business Mailing Address
First Line : 1525 ADDISON AVE E STE A2
Second Line :
City : TWIN FALLS
State : ID
Zip : 83301-5300
Country : US
Telephone Number : 208-739-9961
Fax Number : 208-739-9962
Provider Business Practice Location Address
First Line : 1525 ADDISON AVE E STE A2
Second Line :
City : TWIN FALLS
State : ID
Zip : 83301-5300
Country : US
Telephone Number : 208-739-9961
Fax Number : 208-739-9962
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 12/20/2024

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Directions to “ LINDSAY A. HUBSMITH P.A.-C.” Practice Location

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