Individual
LAUREN D. BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 N CURTIS ROAD, BOISE, ID 83706
(208) 367-6279
(208) 367-3951
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 367-6279
(208) 367-3951
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G86701
CA
207V00000X
Obstetrics & Gynecology Physician
M-13942
ID
208M00000X
Hospitalist Physician
Primary
M-13942
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G867010
—
CA
Enumeration date
08/23/2005
Last updated
04/01/2020
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