Individual
LAUREN REBECCCA LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3288 E PINE AVE, MERIDIAN, ID 83642-5922
(208) 886-0880
Mailing address
3288 E PINE AVE, MERIDIAN, ID 83642-5922
(208) 886-0880
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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