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1154528792
LAURA L LAWRENCE
BOISE, ID
NPI
1154528792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA05010)
Enumeration Date
2007-06-28
Last Update Date
2023-12-07
Business Address
LAURA L LAWRENCE P.A.
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
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Mailing Address
LAURA L LAWRENCE P.A.
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
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