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Ms. Myrna Lee, PA-C
Medical Physician Assistant in Idaho Falls, Idaho
NPI 1194833111

Myrna Lee is a Medical Physician Assistant based in Idaho Falls, ID and is specialized in Medical. Myrna Lee practices in Idaho Falls, ID and has the professional credentials of PA-C. The NPI Number for Myrna Lee is 1194833111 and holds a License No. PA334 (Idaho).

The current practice location address for Myrna Lee is 1740 E 17Th St, Idaho Falls, ID and can be reached out via phone at 208-346-7500 and via fax at 208-346-7501. You can also correspond with Myrna Lee through the mailing address at 1740 E 17TH ST, IDAHO FALLS, ID - 83404-6375 (mailing address contact number: 208-346-7500).

Location: 1740 E 17Th St, Idaho Falls, ID, 83404-6375
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Provider Profile Details
NPI Number
1194833111
Provider Name
Myrna Lee
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1740 E 17Th St, Idaho Falls, ID, 83404-6375
Phone Number
208-346-7500
Fax Number
208-346-7501
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806327800 05 ID
institution
Provider Business Practice Location Address Details
Address
1740 E 17Th St
City
State
Zip
83404-6375
Phone Number
208-346-7500
Fax Number
208-346-7501
person
Provider Business Mailing Address Details
Address
1740 E 17Th St
City
State
Zip
83404-6375
Phone Number
208-346-7500
Fax Number
208-346-7501
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA334 (Idaho)
Definition
Definition to come...
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