LAUREN MOAK

MERIDIAN, ID
NPI1417630559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  1271985)
Enumeration Date2023-08-07
Last Update Date2025-11-11
Business Address
LAUREN MOAK
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5651
Mailing Address
LAUREN MOAK
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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