Jordan Thomas Lauby, PA-C

NPI #1659147544 in Bonners Ferry, Idaho

Provider Information

NPI Number: 1659147544
Entity Type: Individual
Name: Jordan Thomas Lauby, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 30, 2023
Last Updated: Feb 13, 2024

Practice Location

Address: 6615 COMANCHE ST
City: Bonners Ferry
State: Idaho
ZIP Code: 83805-7523
Phone: (208) 267-1718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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