Individual
LORINDA ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
450 E MAIN ST, REXBURG, ID 83441-5968
(208) 359-6900
Mailing address
3236 SANDY DR, IDAHO FALLS, ID 83401-5968
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
41587
ID
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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