Individual
LAUREN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-1020
(208) 577-1464
(208) 426-1778
Mailing address
1910 UNIVERSITY DR, BOISE, ID 83725-1020
(208) 577-1464
(208) 426-1778
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-356
ID
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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