Individual
LAUREN MCMORROW HENKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 N 2ND ST STE 215, BOISE, ID 83702-6130
(208) 381-5500
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1939
ID
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/31/2020
Last updated
12/13/2023
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