Individual
NATHAN JOEL LAUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1920 E 17TH ST STE 330, IDAHO FALLS, ID 83404-8036
(208) 534-8303
(208) 277-2202
Mailing address
5335 N 6000 W, REXBURG, ID 83440-3048
(360) 790-8553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-42825
ID
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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