| Doctor Name: | LINDSEY WELLS |
| NPI Number: | 1881074201 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | NP-1560A |
| Business Practice Address: | 868 East Riverside Eagle, ID - 83616 |
| Business Phone Number: | 2089952802 |
| Business Fax Number: | |
| Mailing Address: | 2307 Lynx Way, BOISE |
| State: | ID |
| Postal Code: | 83705 |
| Phone Number: | 2088616204 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2015 |
| NPI Last Update Date: | 06/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | NP-1560A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |