Individual
LAUREN TERESA HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
250 W BOBWHITE CT STE 275, BOISE, ID 83706-6657
(208) 972-2277
Mailing address
250 W BOBWHITE CT STE 275, BOISE, ID 83706-6657
(208) 972-2277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-1586
ID
Other
Enumeration date
06/22/2018
Last updated
08/26/2024
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