Lauren Addison Manfull, LMP

NPI #1477841799 in St Maries, Idaho

Provider Information

NPI Number
1477841799
Entity Type
Individual
Name
Lauren Addison Manfull, LMP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
LMP
Enumeration Date
Jul 20, 2011
Last Updated
Jul 20, 2011

Practice Location

Address
315 W COLLEGE AVE
State
Idaho
ZIP Code
83861-2035
Phone
(208) 568-0082

Specialties & Taxonomy Codes

Specialty
Specialist

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