LAURREN ASHLEY BENNETT

IDAHO FALLS, ID
NPI1104419431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2020)
Enumeration Date2021-02-17
Last Update Date2021-02-17
Business Address
LAURREN ASHLEY BENNETT PA-C
740 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5285
Phone number: 209-542-9111
Mailing Address
LAURREN ASHLEY BENNETT PA-C
720 KIMBERLY DR
IDAHO FALLS, ID 83401-3838
Phone number: 208-520-2025
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