Lynnette Khandaker (NPI# 1396292421, PAC ID# 8123307105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396292421 |
| PAC ID by PECOS | 8123307105 |
| Professional Enrollment ID | I20190625001979 |
| Full Name | Lynnette Khandaker |
| Organization Legal Name | LIFEPATH SERVICES LLC |
| Address |
10112 W Overland Rd Boise ID 83709-1428 |
| Phone Number | 2086088824 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9638487515 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10112 W Overland Rd, Boise, ID 83709-1428 | 2086088824 | LIFEPATH SERVICES LLC |
| Organization Legal Name | LIFEPATH SERVICES LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Lea Hausner | Clinical Social Worker | Lifepath Services LLC | 10112 W Overland Rd, Boise, ID 83709-1428 |
| Ann Turner | Clinical Social Worker | Lifepath Services LLC | 10112 W Overland Rd, Boise, ID 83709-1428 |
| Michael H Millward | Family Practice | Lifepath Services LLC | 10112 W Overland Rd, Boise, ID 83709-1428 |
| S. Lori Johnson | Clinical Social Worker | Lifepath Services LLC | 10112 W Overland Rd, Boise, ID 83709-1428 |
| Street Address |
10112 W OVERLAND RD |
| City | BOISE |
| State | ID |
| Zip | 83709-1428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Lea Hausner | Clinical Social Worker | Lifepath Services LLC | 10112 W Overland Rd, Boise, ID 83709-1428 |
| Ann Turner | Clinical Social Worker | Lifepath Services LLC | 10112 W Overland Rd, Boise, ID 83709-1428 |
| Michael H Millward | Family Practice | Lifepath Services LLC | 10112 W Overland Rd, Boise, ID 83709-1428 |
| S. Lori Johnson | Clinical Social Worker | Lifepath Services LLC | 10112 W Overland Rd, Boise, ID 83709-1428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer J Gooding | Nurse Practitioner | First Choice Healthcare, Inc. | 12400 W Overland Rd, Suite 100, Boise, ID 83709-0021 |
| Candice Elaine Adams | Nurse Practitioner | First Choice Healthcare, Inc. | 12400 W Overland Rd, Suite 100, Boise, ID 83709-0021 |
| Kevin A Clifford | Hospice/palliative Care | First Choice Healthcare, Inc. | 12400 W Overland Rd, Suite 100, Boise, ID 83709-0021 |
| Michelle Clapperton | Nurse Practitioner | First Choice Healthcare, Inc. | 12400 W Overland Rd, Suite 100, Boise, ID 83709-0021 |
| Neil E King | Chiropractic | 10826 W Ashburton Dr, Boise, ID 83709-0225 | |
| Brenda Dee | Clinical Social Worker | 7229 W Franklin Rd, Boise, ID 83709-0909 | |
| Jamia E Byrns | Internal Medicine | Lyon Medical LLC | 6651 W Franklin Rd, Boise, ID 83709-0914 |
| Stephanie L Dalton | Physician Assistant | Lyon Medical LLC | 6651 W Franklin Rd, Boise, ID 83709-0914 |
| Kimberly Hinrichs | Clinical Social Worker | 204 S Cole Rd, Boise, ID 83709-0934 | |
| Christina M Smith | Clinical Social Worker | 204 S Cole Rd, Boise, ID 83709-0934 | |
| Find all physicians in zip 83709 | |||
| City | BOISE |
| Zip Code | 83709 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOISE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lynnette Khandaker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.