Individual
LAUREN CAPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 S 25TH E, IDAHO FALLS, ID 83404-4606
(208) 656-1500
Mailing address
PO BOX 1407, IDAHO FALLS, ID 83403-1407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2377
ID
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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