Luque, Marion Lynn
Luque, Marion Lynn is an sole proprietor health care provider with primary practice located at 1139 E. Winding Creek Drive , Eagle ID 83616-6566. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Luque, Marion Lynn can be contacted via phone (208) 938-8887.Contact Information
Primary practice address
1139 E. Winding Creek Drive
Eagle ID 83616-6566
Phone: (208) 938-8887
Fax: (208) 938-8897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M8345 | Idaho |
Profile Details
| NPI number | 1124088331 |
|---|---|
| LBN Legal business name | Luque, Marion Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Apr 8th, 2013 - about 13 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 | 1124088331 | NPPES |
| Idaho | Other | M8345 | STATE LICENSE |
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