P Praxis·MD
● Active Type 1 · Individual

Ingrid Sc Lundgren, MD

Pediatrics·Boise, ID· NPI 1336295930 · Enumerated 2007 · 19 years on NPI
Lundgren is 1 of 5 pediatrics providers in Boise and 1 of 5 in Idaho.
NPI age
19 years
Enumerated 2007-01-26
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-09-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5 active pediatrics providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
40% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
100 E Idaho St, Ste 200
Boise, ID 837126267
📞 2083817330
Mailing address
190 E Bannock St
Boise, ID 83712
📞 2083812222

Specialties

  • Pediatrics Primary
    A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses,...
    ID license #M11411 taxonomy 2080P0208X

Practice context

Part of a multi-provider practice. 186 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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