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SARI BIANCA LAVARIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
360 E MONTVUE DR, MERIDIAN, ID 83642-6318
(208) 855-2900
(208) 898-9877
Mailing address
3277 E LOUISE DR STE 375, MERIDIAN, ID 83642-9360
(208) 855-2900
(208) 898-9877

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
PA1035
ID
363A00000X
Physician Assistant
PA-1035
ID

Other

Enumeration date
12/11/2012
Last updated
04/23/2026
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