Individual
MICHELLE ROXANN LAUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 ASCENT CT APT B, MIDDLETON, ID 83644-5383
(208) 859-4789
Mailing address
210 ASCENT CT APT B, MIDDLETON, ID 83644-5383
(208) 859-4789
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT47940
ID
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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