CARLIE M LAUSEN

BOISE, ID
NPI1427288356
Former NameCARLIE M LAUSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2545)
Enumeration Date2009-07-27
Last Update Date2012-12-10
Business Address
-- CARLIE M LAUSEN DPT
13895 W WAINWRIGHT DR
BOISE, ID 83713-5011
Phone number: 208-939-0533
Mailing Address
-- CARLIE M LAUSEN DPT
12072 MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-939-0533
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