LYNETTE FOGG
Counselor - Professional
Active
Individual
NPI: 1912335506
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | LPC-5273 (ID) |
Frequently Asked Questions
NPI 1912335506 is the National Provider Identifier for LYNETTE FOGG, a Counselor - Professional provider located in Eagle, ID. This NPI was enumerated on October 17, 2013.
LYNETTE FOGG practices at 1191 E IRON EAGLE DR, SUITE 200, Eagle, ID 83616.
Quick Facts
- NPI
- 1912335506
- Type
- Individual
- Enumerated
- Oct 17, 2013
- Last Updated
- Oct 17, 2013
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