VIKTOR LAVOR

BOISE, ID
NPI1134722010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  144619)
Enumeration Date2020-11-20
Last Update Date2023-01-04
Business Address
VIKTOR LAVOR SRNA
2537 W STATE ST STE 200
BOISE, ID 83702-2200
Phone number: 208-593-2202
Mailing Address
VIKTOR LAVOR SRNA
24009 WAGNER RD
CALDWELL, ID 83607-8801
Phone number: 916-220-2405
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