Provider Demographics
NPI:1003881970
Name:GE-ZERBE, LYNN (MD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:GE-ZERBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1759 S MILLENIUM WAY
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-1505
Mailing Address - Country:US
Mailing Address - Phone:208-387-6546
Mailing Address - Fax:888-334-8747
Practice Address - Street 1:1759 S MILLENIUM WAY
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-1505
Practice Address - Country:US
Practice Address - Phone:208-387-6546
Practice Address - Fax:888-334-8747
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-01459207RE0101X
IDM10012207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807790200Medicaid
ID1100030Medicare PIN
NC2046202Medicare ID - Type Unspecified
ID807790200Medicaid