Individual
LAUREN ELIZABETH MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6140 W CURTISIAN AVE STE 100, BOISE, ID 83704-0109
(208) 302-0130
(208) 302-0135
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2429
ID
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/19/2020
Last updated
12/30/2022
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