SHAUNA LACOW

MERIDIAN, ID
NPI1609396282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  55964)
Enumeration Date2017-06-23
Last Update Date2017-06-23
Business Address
SHAUNA LACOW
1525 E LEIGHFIELD DR # 150
MERIDIAN, ID 83646-5371
Phone number: 208-888-1199
Mailing Address
SHAUNA LACOW
1525 E LEIGHFIELD DR # 150
MERIDIAN, ID 83646-5371
Phone number:
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