LACI BAUER

MERIDIAN, ID
NPI1558905653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  62999)
Enumeration Date2019-10-31
Last Update Date2019-12-05
Business Address
LACI BAUER NP-C
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-333-2225
Mailing Address
LACI BAUER NP-C
520 S EAGLE RD STE 1243
MERIDIAN, ID 83642-6355
Phone number: 208-333-2225
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