Individual
LAURA LEARNED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2076 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 955-7333
(208) 955-7330
Mailing address
5355 S PEGASUS WAY, BOISE, ID 83716-7064
(208) 275-9086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1863
ID
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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