Whalio Doctors

NPI 1124088331

Marion Lynn Luque, MD

Practitioner Internal Medicine Physician Eagle, ID

Practice location

Address
1139 E. Winding Creek Drive, Eagle, ID 83616-6566
Phone
(208) 938-8887
Fax
(208) 938-8897
Mailing address
502 W Two Rivers Dr, Eagle, ID 83616-7121

Registered specialties

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence M8345 (ID)

Registry record

NPI
1124088331
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Mar 2006
Record last updated
8 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.