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Lauren Addison Manfull, LMP
Specialist in St Maries, Idaho
NPI 1477841799

Lauren Addison Manfull is a Specialist based in St Maries, ID. Lauren Addison Manfull practices in St Maries, ID and has the professional credentials of LMP. The NPI Number for Lauren Addison Manfull is 1477841799 and holds a License No. (Idaho).

The current practice location address for Lauren Addison Manfull is 315 W College Ave, St Maries, ID and can be reached out via phone at 208-568-0082.

Location: 315 W College Ave, St Maries, ID, 83861-2434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477841799
Provider Name
Lauren Addison Manfull
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
315 W College Ave, St Maries, ID, 83861-2434
Phone Number
208-568-0082
Fax Number
Provider Enumeration Date
07/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
315 W College Ave
City
St Maries
State
Idaho
Zip
83861-2035
Phone Number
208-568-0082
Fax Number
person
Provider Business Mailing Address Details
Address
315 W College Ave
City
St Maries
State
Idaho
Zip
83861-2035
Phone Number
208-568-0082
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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