Lineberry, Laura Kathleen
Lineberry, Laura Kathleen is an individual health care provider with primary practice located at 13059 W Persimmon Ln , Boise ID 83713-1986. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Lineberry, Laura Kathleen can be contacted via phone (208) 658-9470.Contact Information
Primary practice address
13059 W Persimmon Ln
Boise ID 83713-1986
Phone: (208) 658-9470
Fax: (208) 658-0778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D3184OR | Idaho |
Profile Details
| NPI number | 1801061080 |
|---|---|
| LBN Legal business name | Lineberry, Laura Kathleen |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801061080 | NPPES |
| Idaho | MEDICAID | 805330500 |
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