BRADEN LAWRENCE

BOISE, ID
NPI1104454123
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  M-16829)
Enumeration Date2020-03-27
Last Update Date2025-12-22
Business Address
BRADEN LAWRENCE MD
10583 W LAKE HAZEL RD
BOISE, ID 83709-6326
Phone number: 208-302-5900
Mailing Address
BRADEN LAWRENCE MD
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-302-9342