Lauren Moak

NPI #1417630559 in Meridian, Idaho

Provider Information

NPI Number: 1417630559
Entity Type: Individual
Name: Lauren Moak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 7, 2023
Last Updated: Nov 11, 2025

Practice Location

Address: 520 S EAGLE RD
City: Meridian
State: Idaho
ZIP Code: 83642-6351
Phone: (208) 706-5651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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