Individual
LORI BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 HEATH LAKE RD, SAGLE, ID 83860-9406
(208) 946-7404
Mailing address
405 HEATH LAKE RD, SAGLE, ID 83860-9406
(208) 946-7404
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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