MICHAEL LOUNSBURY

MOSCOW, ID
NPI1356346712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA10002373)
Enumeration Date2005-06-14
Last Update Date2021-06-22
Business Address
Mr. MICHAEL LOUNSBURY PAC
318 N LINCOLN ST
MOSCOW, ID 83843-3243
Phone number: 208-827-6127
Mailing Address
Mr. MICHAEL LOUNSBURY PAC
318 N LINCOLN ST
MOSCOW, ID 83843-3243
Phone number: 208-827-6127
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