Dr. Lester Phil Nyborg , MD
General Practice • Boise, ID
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lester Nyborg has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Lester Nyborg, MD was a registered General Practice practicing in Boise, ID. Throughout an active medical career spanning 7 years, Dr. Nyborg provided care at the practice location at 550 W. FORT ST. until profile deactivation on 2017-06-15.
Practice Location & Contact Primary Location
550 W. Fort St.
(Federal Court House) Boise Meps
Boise, ID 837240101
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Boise, ID
Practicing in Boise, ID (37 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 15, 2017
NPI status registered as active in NPPES database
Registered at 550 W. FORT ST., (FEDERAL COURT HOUSE) BOISE MEPS, BOISE, ID 837240101 (Tel: 2083341450)
Registered at 550 W. FORT ST., BOISE MEPS, BOISE, ID 837240101 (Tel: 2083341450)
Recorded as LESTER NYBORG, MD
General Practice (License #M-3478 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
550 W. Fort St., Boise Meps
Boise, ID 837240101
Phone: 2083341450
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