Individual
LARA RENEE BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 385-3230
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62193
ID
Other
Enumeration date
07/18/2019
Last updated
04/18/2023
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