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Laira Lue Thomas, FNP
Family Nurse Practitioner in Fairfield, Idaho
NPI 1629036264

Laira Lue Thomas is a Family Nurse Practitioner based in Twin Falls, ID and is specialized in Family. Laira Lue Thomas practices in Fairfield, ID and has the professional credentials of FNP. The NPI Number for Laira Lue Thomas is 1629036264 and holds a License No. NP-327A (Idaho).

The current practice location address for Laira Lue Thomas is 401 W Camas Ave, Fairfield, ID and can be reached out via phone at 208-764-2611 and via fax at 208-764-2646.

Location: 401 W Camas Ave, Fairfield, ID, 83301-6856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629036264
Provider Name
Laira Lue Thomas
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
401 W Camas Ave, Fairfield, ID, 83301-6856
Phone Number
208-764-2611
Fax Number
208-764-2646
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805065000 05 ID
institution
Provider Business Practice Location Address Details
Address
401 W Camas Ave
City
Fairfield
State
Idaho
Zip
83327
Phone Number
208-764-2611
Fax Number
208-764-2646
person
Provider Business Mailing Address Details
Address
401 W Camas Ave
City
Fairfield
State
Idaho
Zip
83327
Phone Number
208-764-2611
Fax Number
208-764-2646
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP-327A (Idaho)
Definition
Definition to come...
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