Individual
LAWRENCE E GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16060 IDAHO CENTER BLVD, NAMPA, ID 83687
(208) 467-3368
(208) 467-3360
Mailing address
16060 IDAHO CENTER BLVD, NAMPA, ID 83687
(208) 467-3368
(208) 467-3360
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M-3814
ID
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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