LORENZA FULLMER

IDAHO FALLS, ID
NPI1669880670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP 2380)
Enumeration Date2014-07-23
Last Update Date2014-09-03
Business Address
-- LORENZA FULLMER M.S., CCC-SLP
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-529-2255
Mailing Address
-- LORENZA FULLMER M.S., CCC-SLP
1212 W 100 S
BLACKFOOT, ID 83221-6035
Phone number: 208-221-0080
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