Fitzgerald, Codi Lynn

Fitzgerald, Codi Lynn is an individual health care provider with primary practice located at 2347 E Gala St , Meridian ID 83642-4881. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fitzgerald, Codi Lynn can be contacted via phone (208) 323-3767.

Contact Information

Primary practice address
2347 E Gala St Meridian ID 83642-4881
Phone: (208) 323-3767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X M-15948 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60776152 Washington

Profile Details

NPI number 1811381015
LBN Legal business name Fitzgerald, Codi Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2015
Last updated Aug 9th, 2021 - about 5 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.

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