Lori Ann Graber, M.O.T O.T.R.

NPI #1104032101 in Boise, Idaho

Provider Information

NPI Number: 1104032101
Entity Type: Individual
Name: Lori Ann Graber, M.O.T O.T.R.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.O.T O.T.R.
Enumeration Date: May 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1130 ALLUMBAUGH ST
City: Boise
State: Idaho
ZIP Code: 83704-8700
Phone: (208) 854-8517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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