Individual
LAURIE M KUESTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2860 CHANNING WAY STE 220, IDAHO FALLS, ID 83404-7541
(208) 800-6155
(208) 800-6158
Mailing address
PO BOX 277381, ATLANTA, GA 30384-7381
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
9871966
ID
Other
Enumeration date
11/16/2005
Last updated
09/17/2025
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