Individual
LAUREN NUMEDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2939 W EXCURSION LN, MERIDIAN, ID 83642-5308
(208) 385-7711
Mailing address
2939 W EXCURSION LN, MERIDIAN, ID 83642-5308
(208) 385-7711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
56984
ID
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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