Individual
LAURA R. STYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
325 W IDAHO ST, BOISE, ID 83702-6040
(208) 514-2525
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA056448
PA
363A00000X
Physician Assistant
Primary
PA-1951
ID
Other
Enumeration date
11/08/2013
Last updated
10/12/2020
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